Valid for Submission
I69.398 is a billable diagnosis code used to specify a medical diagnosis of other sequelae of cerebral infarction. The code I69.398 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The ICD-10-CM code I69.398 might also be used to specify conditions or terms like abnormal behavior, alteration of sensation as late effect of stroke, asthenia due to disease, behavior disorder as sequela of cerebral infarction, central pain , central post-stroke pain, etc. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
I69.398 is a sequela code, includes a 7th character and should be used for complications that arise as a direct result of a condition like other e of cerebral infarction. According to ICD-10-CM Guidelines a "sequela" code should be used for chronic or residual conditions that are complications of an initial acute disease, illness or injury. The most common sequela is pain. Usually, two diagnosis codes are needed when reporting sequela. The first code describes the nature of the sequela while the second code describes the sequela or late effect.
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 guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code I69.398:
Inclusion TermsInclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- Alteration of sensation following cerebral infarction
- Disturbance of vision following cerebral infarction
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 sequelae
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 I69.398 are found in the index:
- - Alteration (of), Altered
- - Disturbance (s) - See Also: Disease;
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Abnormal behavior
- Alteration of sensation as late effect of stroke
- Asthenia due to disease
- Behavior disorder as sequela of cerebral infarction
- Central pain
- Central post-stroke pain
- Epilepsy due to cerebrovascular accident
- Epilepsy due to perinatal stroke
- Infarction of optic radiation
- Ischemic stroke with coma
- Muscle weakness of limb
- Optic radiation disorder
- Pain following cerebrovascular accident
- Pain in right hand
- Pain of left hand
- Pain of left hand due to and following cerebrovascular accident
- Pain of right hand due to and following cerebrovascular accident
- Post-cerebrovascular accident epilepsy
- Post-infarction hypopituitarism
- Seizure disorder as sequela of stroke
- Sensory disorder as a late effect of cerebrovascular disease
- Spasticity as sequela of stroke
- Vertigo as late effect of stroke
- Vertigo as sequela of cerebrovascular disease
- Vertigo as sequela of cerebrovascular disease
- Vertigo as sequela of ischemic cerebrovascular accident
- Vertigo due to and following hemorrhagic cerebrovascular accident
- Vertigo due to brain injury
- Vertigo due to brain injury
- Visual field defect due to and following cerebrovascular accident
- Weakness as a late effect of stroke
- Weakness of extremities as sequela of stroke
Present on Admission (POA)
Convert I69.398 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code I69.398 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
Also called: Brain attack, CVA
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 percent 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
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