Valid for Submission
I69.291 is a billable diagnosis code used to specify a medical diagnosis of dysphagia following other nontraumatic intracranial hemorrhage. The code I69.291 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code I69.291:
Use Additional CodeUse Additional Code
The “use additional code” indicates that a secondary code could be used to further specify the patient’s condition. This note is not mandatory and is only used if enough information is available to assign an additional code.
- code to identify the type of dysphagia, if known R13.1
Index to Diseases and Injuries
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code I69.291 are found in the index:
Present on Admission (POA)
Convert I69.291 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code I69.291 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Information for Patients
What is a stroke?
A stroke happens when there is a loss of blood flow to part of the brain. Your brain cells cannot get the oxygen and nutrients they need from blood, and they start to die within a few minutes. This can cause lasting brain damage, long-term disability, or even death.
If you think that you or someone else is having a stroke, call 911 right away. Immediate treatment may save someone's life and increase the chances for successful rehabilitation and recovery.
What are the types of stroke?
There are two types of stroke:
- Ischemic stroke is caused by a blood clot that blocks or plugs a blood vessel in the brain. This is the most common type; about 80% of strokes are ischemic.
- Hemorrhagic stroke is caused by a blood vessel that breaks and bleeds into the brain
Another condition that's similar to a stroke is a transient ischemic attack (TIA). It's sometimes called a "mini-stroke." TIAs happen when the blood supply to the brain is blocked for a short time. The damage to the brain cells isn't permanent, but if you have had a TIA, you are at a much higher risk of having a stroke.
Who is at risk for a stroke?
Certain factors can raise your risk of a stroke. The major risk factors include
- High blood pressure. This is the primary risk factor for a stroke.
- Heart diseases. Atrial fibrillation and other heart diseases can cause blood clots that lead to stroke.
- Smoking. When you smoke, you damage your blood vessels and raise your blood pressure.
- A personal or family history of stroke or TIA.
- Age. Your risk of stroke increases as you get older.
- Race and ethnicity. African Americans have a higher risk of stroke.
There are also other factors that are linked to a higher risk of stroke, such as
- Alcohol and illegal drug use
- Not getting enough physical activity
- High cholesterol
- Unhealthy diet
- Having obesity
What are the symptoms of stroke?
The symptoms of stroke often happen quickly. They include
- Sudden numbness or weakness of the face, arm, or leg (especially on one side of the body)
- Sudden confusion, trouble speaking, or understanding speech
- Sudden trouble seeing in one or both eyes
- Sudden difficulty walking, dizziness, loss of balance or coordination
- Sudden severe headache with no known cause
If you think that you or someone else is having a stroke, call 911 right away.
How are strokes diagnosed?
To make a diagnosis, your health care provider will
- Ask about your symptoms and medical history
- Do a physical exam, including a check of
- Your mental alertness
- Your coordination and balance
- Any numbness or weakness in your face, arms, and legs
- Any trouble speaking and seeing clearly
- Run some tests, which may include
- Diagnostic imaging of the brain, such as a CT scan or MRI
- Heart tests, which can help detect heart problems or blood clots that may have led to a stroke. Possible tests include an electrocardiogram (EKG) and an echocardiography.
What are the treatments for stroke?
Treatments for stroke include medicines, surgery, and rehabilitation. Which treatments you get depend on the type of stroke and the stage of treatment. The different stages are
- Acute treatment, to try to stop a stroke while it is happening
- Post-stroke rehabilitation, to overcome the disabilities caused by the stroke
- Prevention, to prevent a first stroke or, if you have already had one, prevent another stroke
Acute treatments for ischemic stroke are usually medicines:
- You may get tPA, (tissue plasminogen activator), a medicine to dissolve the blood clot. You can only get this medicine within 4 hours of when your symptoms started. The sooner you can get it, the better your chance of recovery.
- If you cannot get that medicine, you may get medicine that helps stop platelets from clumping together to form blood clots. Or you may get a blood thinner to keep existing clots from getting bigger.
- If you have carotid artery disease, you may also need a procedure to open your blocked carotid artery
Acute treatments for hemorrhagic stroke focus on stopping the bleeding. The first step is to find the cause of bleeding in the brain. The next step is to control it:
- If high blood pressure is the cause of bleeding, you may be given blood pressure medicines.
- If an aneurysm if the cause, you may need aneurysm clipping or coil embolization. These are surgeries to prevent further leaking of blood from the aneurysm. It also can help prevent the aneurysm from bursting again.
- If an arteriovenous malformation (AVM) is the cause of a stroke, you may need an AVM repair. An AVM is a tangle of faulty arteries and veins that can rupture within the brain. An AVM repair may be done through
- Injecting a substance into the blood vessels of the AVM to block blood flow
- Radiation to shrink the blood vessels of the AVM
Stroke rehabilitation can help you relearn skills you lost because of the damage. The goal is to help you become as independent as possible and to have the best possible quality of life.
Prevention of another stroke is also important, since having a stroke increases the risk of getting another one. Prevention may include heart-healthy lifestyle changes and medicines.
Can strokes be prevented?
If you have already had a stroke or are at risk of having a stroke, you can make some heart-healthy lifestyle changes to try to prevent a future stroke:
- Eating a heart-healthy diet
- Aiming for a healthy weight
- Managing stress
- Getting regular physical activity
- Quitting smoking
- Managing your blood pressure and cholesterol levels
If these changes aren't enough, you may need medicine to control your risk factors.
NIH: National Institute of Neurological Disorders and Stroke
[Learn More in MedlinePlus]
If you have a swallowing disorder, you may have difficulty or pain when swallowing. Some people cannot swallow at all. Others may have trouble swallowing liquids, foods, or saliva. This makes it hard to eat. Often, it can be difficult to take in enough calories and fluids to nourish your body.
Anyone can have a swallowing disorder, but it is more common in older adults. It often happens because of other conditions, including
- Nervous system disorders, such as Parkinson's disease and cerebral palsy
- Problems with your esophagus, including GERD (gastroesophageal reflux disease)
- Head or spinal cord injury
- Cancer of the head, neck, or esophagus
Medicines can help some people, while others may need surgery. Swallowing treatment with a speech-language pathologist can help. You may find it helpful to change your diet or hold your head or neck in a certain way when you eat. In very serious cases, people may need feeding tubes.
NIH: National Institute on Deafness and Other Communication Disorders
[Learn More in MedlinePlus]