the recipe for choosing the correct icd-10 treatment...

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December 2, 2016

The Recipe for Choosing the Correct ICD-10

Treatment Diagnosis Code(s)

Often times, therapists are not choosing the appropriate ICD-10 treatment diagnosis when they evaluate a patient which can lead to false information, lack of medical necessity, billing errors and a claim being denied. When following the guidelines and examples below, you will feel confident your diagnosis decision will be correct. First: Remember these three key ingredients when choosing the correct treatment diagnosis

1. Assess impairment/s and document your findings 2. Establish and document related short and long term goals 3. Select the treatment code/s and check the definitions to ensure they match the impairments* *Make sure selected codes are MAC approved if applicable

Second:

• ICD-10 codes chosen must be medically necessary, appropriate and relate to the therapy discipline specific service.

Third:

• Distinguish between a medical diagnosis and a treatment diagnosis.

Medical Diagnoses • Medicare A –The medical diagnosis code/s is the reason for which the patient was hospitalized. The

code should be taken from the hospital transfer/discharge face sheet or discharge summary provided to the facility AND the medical diagnosis code/s should be the same for each discipline per episode of care. Often times the MDS coordinator will give direction on the appropriate medical diagnosis to document. Check with your facility on their procedure.

• Medicare B – The medical diagnosis code/s must be supported by the medical record documentation and relate to the therapy treatment diagnosis. It should be taken from the facility face sheet in the patient’s medical record or physician progress notes if recent physician visit prompted referral. If there isn’t a medical diagnosis that does not support a treatment diagnosis, ask the physician for a specific code. For outpatient IL/AL, diagnoses may be taken from physician’s order/script.

Treatment Diagnoses (All Payers) • The treatment diagnosis code/s must be discipline specific and reflect the patient’s recent impairment/s

that have been assessed and short and long term goal/s established to address the impairment/s.

Choosing the Correct ICD-10 Treatment Diagnosis Code(s) | 12.02.16 2 | Page

Four: Therapy documentation must support the following:

• Dominant side • Anatomic detail • Site specificity • Specific body part • Thorough assessment of functional deficits and impairments, barriers identified and POC including short

and long term goals to support the treatment diagnoses • Include information from the ICD-10 description

Five:

• Please check your Medicare Administrative Contractor’s therapy Local Coverage Determinations (LCDs) to see if they list specific ICD-10 codes they require you to use exclusively. The list can be found on Knect>Kindred Rehabilitation Services>Clinical Services>Skilled Nursing (RHB)>Coding>Medicare Administrative Contractor (MAC) Approved ICD-10 Code listings and links to their LCDs

• Code to the highest level of specificity, represent the current medical condition and/or co-morbidities impacting rehab

• Code ALL diagnoses that impact rehab. • Sequence the codes in order of amount and complexity of care provided • Try to avoid unspecified codes, if possible. Codes titled “unspecified” are for use when the information in

the medical record is insufficient to assign a more specific code. For those categories for which an unspecified code is not provided, the “other specified” code may represent both other and unspecified

• Refer to the Common ICD-10 Treatment Diagnosis Codes for Physical Therapy, Occupational Therapy and Speech Language Pathology: Knect>Kindred Rehabilitation Services>Clinical Services>Skilled Nursing (RHB)>Coding>OT and PT Common ICD-10 Treatment Diagnosis Codes and SLP Common ICD-10 Treatment Diagnosis Codes

Common Examples and Definitions of Therapy Treatment Diagnoses with Required Supporting Documentation • R26.2 - Difficulty Walking (Walking disability excludes falling R29.6 and unsteadiness on feet R26.81)

Evaluate gait with inclusion of specific ROM/strength deficits, gait deviations as well as gait distance, level of assist and assistive device with goal for gait.

• M53.1 – Muscle Weakness (Arm weakness- right arm, left arm or BUEs, Asthenia, Leg weakness–right

leg, left leg or BLEs, Weakness as late effects of stroke, Weakness as a late effect of cerebrovascular accident, Weakness of extremities as late effects of CVA, Weakness of extremities as late effects of stroke). Excludes age-related weakness (R54 ), generalized muscle weakness (M62.8- ), sarcopenia (M62.84 ), senile asthenia (R54 ). Remember muscle weakness is 3-/5 or below. Provide a detailed assessment of strength (MMT) in each joint of the extremities with relationship to functional deficits with goal for strengthening.

http://www.icd10data.com/ICD10CM/Codes/R00-R99/R50-R69/R54-

http://www.icd10data.com/ICD10CM/Codes/M00-M99/M60-M63/M62-


http://www.icd10data.com/ICD10CM/Codes/M00-M99/M60-M63/M62-/M62.84


Choosing the Correct ICD-10 Treatment Diagnosis Code(s) | 12.02.16 3 | Page

Common Examples and Definitions of Therapy Treatment Diagnoses with Required Supporting Documentation - continued

• M62.81 – Muscle Weakness (generalized) (A disorder characterized by a reduction in the strength of

muscles in multiple anatomic sites). Excludes muscle weakness in sarcopenia. Two examples are myasthenic and quadriparesis. Remember muscle weakness is 3-/5 or below. Provide a detailed assessment of strength (MMT) in each joint of the extremities with relationship to functional deficits with goal for strengthening.

• R27.8 – Other Lack of Coordination

Include a detailed assessment fine motor/gross motor coordination in relation to a functional activity with a goal for coordination and an appropriate standardized test to support such as the Standard Finger to Nose (SFTN), Heel to Shin, Rapid Alternating Movements (RAMs), Point to Point Movement Evaluation.

• R26.89 – Other Abnormalities of Gait and Mobility (Cautious gait, Gait disorder due to weakness, Gait disorder-multifactorial, Gait disorder-painful gait, Gait disorder- postural instability, Gait disturbance-senile, Limp in childhood, Limp occurring during childhood, Limping, Toe-walking gait, Unsteady when walking). Must include the gait deviations, ROM/strength deficits, balance, BOS, speed, cadence, antalgia, gait obstacles as well as level of assistance, assistive device and gait distance with goal for gait.

• R41.841 – Cognitive Communication Deficit (Cognitive deficit in communication skills)

Include a standardized cognitive / linguistic test, SLUMs or MOCA, statement of severity of impairments for attention, concentration, memory, receptive and expressive language, safety awareness, problem solving and new learning capability with a goal for communication and expression.

References:

• ICD-10-CM Official Guidelines for Coding and Reporting FY 2017 (October 1, 2016 - September 30, 2017) • APTA web site • ICD10 Data.com • Chapter 18 of ICD-10-CM: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified

Occupational Therapy and Physical Therapy

Common 2016/17 ICD-10 Treatment Diagnosis Codes

OT/PT Common 2016/17 Page 1 of 9 12.01.16

ICD-10 Treatment Diagnosis Codes

Communicate/Coordinate with facility to validate appropriate admission/medical diagnoses. Review* - A range of codes is provided. Review all codes and choose the code that is most specific.

Category Diagnosis ICD-10 code Comments

Amputation Phantom limb syndrome with pain

G54.6

Phantom limb syndrome without pain

G54.7

Apraxia Apraxia: Excludes1: Apraxia following cerebrovascular disease (I69. with final characters -90)

R48.2

Apraxia following non-traum… I69.090, .190, .290, .390, .890, .990

Review*

Ataxia Early-onset cerebellar ataxia G11.0

Late-onset cerebellar ataxia G11.1

Cerebellar ataxia in diseases not classified elsewhere

G32.81

Ataxia following nontraumatic subarachnoid hemorrhage

I69.093

Ataxia following nontraumatic intracerebral hemorrhage

I69.193

Ataxia following other nontraumatic intracerebral hemorrhage

I69.293

Ataxia following cerebral infarction

I69.393

Ataxia following other Cerebrovascular disease

I69.893

Ataxia following unspecified Cerebrovascular disease

I69.993

Ataxia, unspecified R27.0

Bursitis Rheumatoid bursitis M06.21 - M06.29 Review all codes*

Bursitis various locations (includes lower extremities)

M70.10 - M70.72 Review all codes*

Other Bursopathies M71.10 - M71.9 Review all codes*

Bursitis of unspecified shoulder M75.50

Bursitis of right shoulder M75.51

Bursitis of left shoulder M75.52

Carpal Tunnel Syndrome

Carpal tunnel syndrome, unspecified upper limb

G56.00







Carpal Tunnel Syndrome (Con’t)

Carpal tunnel syndrome, right upper limb

G56.01

Carpal tunnel syndrome, left upper limb

G56.02

Carpal tunnel syndrome, bilateral

G56.03

Cognition Mild cognitive impairment, so stated

G31.84

Memory loss NOS / other amnesia

R41.3

Altered mental status, unspecified

R41.82

Attention and concentration deficit: Cognitive deficit in attention or concentration. Excludes Attention deficit hyperactivity disorders (F90-)

R41.840

Visuospatial deficit: Cognitive deficit in visuospatial function

R41.842

Psychomotor deficit: Cognitive deficit in psychomotor function

R41.843

Frontal lobe and executive function deficit: Cognitive deficit in executive function

R41.844

Other symptoms and signs involving cognitive functions and awareness: Anosognosia

R41.89

Contracture Contracture of joint M24.50 - M24.576 Review all codes*

Palmar fascial fibromatosis: Dupuytren

M72.0

Contusions Contusion of Upper arm S40.021A - S40.029S

Review all codes*

Contusion of shoulder S40.011A - S40.019S

Review all codes*

Contusion of elbow S50.00XA - S50.02XS

Review all codes*

Contusion of wrist and hand S60.00XA - S60.229S

Review all codes*







Contusions (Con’t) Contusion of the hip-thigh S70.00XA - S70.12XS

Review all codes*

Contusion of knee S80.00XA - S80.12XS

Review all codes*

Contusion of ankle S90.00XA - S90.02XS

Review all codes*

Contusion of low back/pelvis S30.0XXA - S30.0XXS

Review all codes*

Disc Cervical Disc Disorder M50.00 – M50.93 Review all codes*

Thoracic Disc Disorder M51.04-M51.34 Review all codes*

Lumbar-Sacral Disorders M51.35-M51.9 Review all codes*

Dysphagia Dysphagia, unspecified R13.10

Dysphagia, oral phase R13.11

Dysphagia, oropharyngeal phase

R13.12

Dysphagia, pharyngeal phase R13.13

Dyphagia, pharyngoesophageal R13.14

Other dysphagia R13.19

Facial weakness R29.810

Feeding difficulties R63.3

Edema Localized edema R60.0

Generalized edema R60.1

Edema, unspecified R60.9

Epicondylitis Medial epicondylitis, unspecified elbow

M77.00

Medial epicondylitis, right elbow

M77.01

Medial epicondylitis, left elbow M77.02

Lateral epicondylitis, unspecified elbow

M77.10

Lateral epicondylitis, right elbow

M77.11

Lateral epicondylitis, left elbow M77.12

Falls Falling: Repeated falls, falling, tendency to fall. Excludes at risk Z91.81.

R29.6

Feeding Feeding difficulties R63.3

Gait Disturbance Ataxic gait: Staggering gait R26.0

Paralytic gait: Spastic gait R26.1







Gait Disturbance (Con’t)

Difficulty in walking, not elsewhere classified: Difficulty walking, Walking disability Excludes falling R29.6 and unsteadiness on feet R26.81

R26.2

Unsteadiness on feet: Gait unsteady, Unsteady gait

R26.81

Other abnormalities of gait and mobility: Cautious gait, Gait disorder due to weakness, Gait disorder-multifactorial, Gait disorder-painful gait, Gait disorder- postural instability, Gait disorder-weakness, Gait disturbance-senile, Gait multifactorial, Gait painful, Gait postural instability, Gait weakness, Limp in childhood, Limp occurring during childhood, Limping, Limping child, Multifactorial gait, Multifactorial gait problem, Painful gait, Postural instability of gait, Senile gait disturbance, Toe walking, Toe-walking gait, Unsteady when walking, Weak gait

R26.89

Unspecified abnormalities of gait and mobility: Abnormal gait, Functional gait abnormality, Gait abnormality-functional, Gait abnormality-functional (non physiologic)

R26.9

Hemiplegia Flaccid Hemiplegia, affecting unspecified side

G81.00

Flaccid Hemiplegia affecting R dominate side

G81.01

Flaccid Hemiplegia affecting L dominant side

G81.02

Flaccid Hemiplegia affecting R non-dominate side

G81.03







Hemiplegia (Con’t) Flaccid Hemiplegia affecting L non-dominant side

G81.04

Spastic Hemiplegia affecting unspecified side

G81.10

Spastic Hemiplegia affecting right dominant side

G81.11

Spastic Hemiplegia affecting left dominant side

G81.12

Spastic Hemiplegia affecting right non-dominant side

G81.13

Spastic Hemiplegia affecting left non-dominant side

G81.14

Hemiplegia, unspecified affecting unspecified side

G81.90

Hemiplegia, unspecified affecting right dominant side

G81.91

Hemiplegia, unspecified affecting left dominant side

G81.92

Hemiplegia, unspecified affecting right dominant side

G81.93

Hemiplegia, unspecified affecting left dominant side

G81.94

Additional Hemiplegia and Hemiparesis codes

I69.051 - I69.959 Review all codes*

Impingement Syndrome -Shoulder

Impingement syndrome of shoulder


Incontinence Stress Incontinence N39.3

Urge Incontinence N39.41

Incontinence w/o sensory awareness

N38.42

Mixed incontinence N39.46

Other unspecified Urinary Incontinence

N39.498

Urgency of Urination R39.15







Incoordination Other Lack of coordination: Dysgraphia, Dysmetria, Dyspraxia, Neuromuscular disorder-dysmetria, Neuromuscular disorder-dyspraxia, stumbling due to lack of coordination, Asterixis, Asynergia, Incoordinate-incoordinate muscular, Lack of coordination

R27.8

Unspecified Lack of Coordination: Incoordination, Lack of coordination

R27.9

Muscle Spasm Muscle spasm of back M62.830

Muscle spasm of calf M62.831

Other muscle spasm M62.838

Cramp and spasm R25.2

Neglect Neurologic neglect syndrome Applicable to: asomatognosia, hemi-akinesia, hemi-inattention, hemispatial neglect, left-sided neglect, sensory neglect, visuospatial neglect

R41.4

Pain Other Chronic Pain G89.29

Chronic Pain Syndrome G89.4

Pain unspecified R52

Low back pain M54.5

Pain in shoulder M25.511 M25.512 M25.519

Review all codes*

Pain in elbow M25.512 M25.522 M25.529

Review all codes*

Pain in wrist M25.531 M25.532 M25.539

Review all codes*







Pain (Con’t) Pain in hip M25.551 M25.552 M25.559

Review all codes*

Pain in knee M25.561 M25.562 M25.569

Review all codes*

Pain in ankle and joints of foot M25.571 M25.572 M25.579

Review all codes*

Causalgia of upper limb G56.40-G56.42 Review all codes*

Causalgia of lower limb G57.70-G57.72 Review all codes*

Complex regional pain syndrome I (CRPS I)

G90.50-G90.59 Review all codes*

Pain in limb, hand, foot, fingers and toes

M79.601-M79.676 Review all codes*

Sciatica, unspecified side M54.30

Sciatica, right side M54.31

Sciatica, left side M54,32

Myalgia M79.1

Fibromyalgia M79.7

Causalgia of upper limb G56.40 - G56.42 Review all codes*

Causalgia of lower limb G57.70 - G57.72 Review all codes*

Headache R51

Other headache syndromes G44.001-G44.89 Review all codes*

Trigeminal neuralgia G50.0

Atypical face pain G50.1

Neuralgia and neuritis, unspecified

M79.2

Plantar fascitis M72.2

Positioning Abnormal Posture R29.3

Respiratory Dyspnea, unspecified R06.00

Other forms of dyspnea R06.09

Sensation Disturbance of sensation R20.0-R20.9 Review all codes*

Stiffness of Joint Ankylosis of Joint M24.60 - M24.676 Review all codes*

Ankylosing Spondylitis M45.0-M45.9 Review all codes*

Torticollis M43.6

Soft Tissue Disorders Synovitis and tenosynovitis M65.20-M65.9 Review all codes*







Soft Tissue Disorders (Con’t)

Other unspecified soft tissue disorders

M79.89

Soft tissue disorder, unspecified

M79.9

Other disorders of synovium and tendon

M67.00-M67.99 Review all codes*

Spondylosis Spondylosis M47.011 - M47.9 Review all codes*

Tendonitis Achilles tendinitis M76.60-M76.62

Tendinitis M65.22 - M65.29 Review all codes*

Vertigo/Vestibular Dysfunction

Epidemic vertigo A88.1

Meniere’s disease H81.0

Other peripheral vertigo H81.3

Visual Deficits Other visual disturbances H53.8

Blindness, one eye, low vision other eye

H54.1

Low vision, both eyes H54.2

Blindness, one eye H54.4

Low vision, one eye H54.5

Unqualified visual loss, one eye H54.6

Legal blindness, as defined in USA

H54.8

Weakness Muscle Weakness: Arm weakness- right arm, left arm or both sides, Asthenia,, Leg weakness–right leg, left leg or both sides, Weakness as late effects of stroke, Weakness as a late effect of cerebrovascular accident, Weakness of extremities as late effects of CVA, Weakness of extremities as late effects of stroke Excludes age-related weakness (R54 ), generalized muscle weakness (M62.8- ), sarcopenia (M62.84 ), senile asthenia (R54). Remember muscle weakness is 3-/5 or below.

R53.1 Weakness is 3-/5 or below



http://www.icd10data.com/ICD10CM/Codes/M00-M99/M60-M63/M62-/M62.84








Weakness (Con’t) Muscle Wasting & Atrophy: Amyotrophy, Atrophy of muscle due to disuse, Atrophy of muscle-idiopathic, Disuse muscle atrophy, Idiopathic muscle atrophy, Muscle atrophy


Muscle Weakness Generalized: A disorder characterized by a reduction in the strength of muscles in multiple anatomic sites. A reduction in the strength of muscles in multiple anatomic sites. Excludes muscle weakness in sarcopenia. Two examples are myasthenic and quadriparesis. Remember weakness is 3-/5 or below.

M62.81 Weakness is 3-/5 or below

Wounds Pressure ulcers L89.000 - L89.95 Review all codes*

Non-pressure chronic ulcers L97.101 - L97.929 Review all codes*

Open wound of elbow and forearm

S51.001A-S51.859S Review all codes*

Open wound of wrist, hand and fingers


Open wound of hip and thigh S71.001A-S71.159S Review all codes*

Open wound of knee and lower leg


Open wound of ankle, foot and toes


Speech Language Pathology


SLP Common 2016/17 Page 1 of 8 12.01.16


Communicate/Coordinate with facility to validate appropriate admission/medical diagnoses

Category ICD-10 Description ICD-10 Code

Cognitive-Linguistic Attention and concentration deficit: Cognitive deficit in attention or concentration. Excludes Attention deficit hyperactivity disorders (F90-)

R41.840

Cognitive communication deficit: Cognitive deficit in communication skills

R41.841

Visuospatial deficit: Cognitive deficit in visuospatial function

R41.842

Psychomotor deficit: Cognitive deficit in psychomotor function

R41.843

Frontal lobe and executive function deficit: Cognitive deficit in executive function

R41.844

Other symptoms and signs involving cognitive functions and awareness: Anosognosia

R41.89

Agnosia: Tactile, Verbal, Auditory, Astereognosia (astereognosis), Autotopagnosia Excludes1: visual object agnosia (R48.3)

R48.1

Apraxia: Excludes1: Apraxia following cerebrovascular disease (I69. with final characters -90)

R48.2

Unspecified symbolic dysfunction: Dyslexia and other symbolic dysfunctions Excludes: specific developmental disorders of scholastic skills

R48.9

Altered mental status, unspecified R41.82

Mild cognitive impairment, so stated G31.84

Retrograde amnesia R41.2

Other amnesia R41.3

Neurologic neglect syndrome R41.4

Aphasia: Excludes1: Aphasia following cerebrovascular disease (I69. with final characters -20), progressive isolated aphasia (G31.01)

R47.01

Dysphasia: Excludes1: Dysphasia following cerebrovascular disease (I69. with final characters -21)

R47.02

Developmental Autistic disorder: Excludes1: Asperger's syndrome (F84.5) F84.0

Asperger's syndrome F84.5

Other pervasive developmental disorders F84.8

Pervasive developmental disorder, unspecified F84.9







Developmental (Con’t)

Selective mutism: Applicable to Elective mutism, Type 2 Excludes: pervasive developmental disorders (F84.-), schizophrenia (F20.-), specific developmental disorders of speech and language (F80.-), transient mutism as part of separation anxiety in young children (F93.0)

F94.0

Attention-deficit hyperactivity disorder, unspecified type F90.9

Attention-deficit hyperactivity disorder, predominantly inattentive type

F90.0

Attention-deficit hyperactivity disorder, predominantly hyperactive type

F90.1

Attention-deficit hyperactivity disorder, combined type F90.2

Attention-deficit hyperactivity disorder, other type F90.8

Attention-deficit hyperactivity disorder, unspecified type F90.9

Specific reading disorder: 'Backward reading', Developmental dyslexia, Specific reading retardation Excludes1: alexia NOS (R48.0), dyslexia NOS (R48.0)

F81.0

Dyslexia and alexia R48.0

Disorder of written expression Specific spelling disorder

F81.81

Mathematics disorder F81.2

Disorder of written expression Specific spelling disorder

F81.81

Other developmental disorders of scholastic skills F81.89

Expressive language disorder F80.1

Mixed receptive-expressive language disorder F80.2

Central auditory processing disorder: Congenital auditory imperception,Word deafness (developmental) Excludes1: mixed receptive-expressive language disorder (F80.2)

H93.25

Speech and language developmental delay due to hearing loss Code also: type of hearing loss (H90.-, H91.-)

F80.4

Childhood onset fluency disorder: Excludes1: Adult onset fluency disorder (F98.5), fluency disorder in conditions classified elsewhere (R47.82), fluency disorder (stuttering) following cerebrovascular disease (I69. with final characters-23)

F80.81

Phonological disorder F80.0







Developmental (con’t)

Other developmental disorders of speech and language F80.89

Developmental disorder of speech and language, unspecified: Communication disorder NOS, Language disorder NOS

F80.9

Feeding difficulties: Feeding problem (elderly) (infant) NOS Excludes1:feeding problems of newborn (P92.-), infant feeding disorder of nonorganic origin (F98.2-)

R63.3

Specific developmental disorder of motor function F82

Spastic diplegic cerebral palsy: Spastic cerebral palsy NOS G80.1

Spastic hemiplegic cerebral palsy G80.2

Spastic quadriplegic cerebral palsy: Congenital spastic paralysis (cerebral)

G80.0

Other cerebral palsy: Mixed cerebral palsy syndromes G80.8

Spastic hemiplegic cerebral palsy G80.2

Ataxic cerebral palsy G80.4

Cerebral palsy, unspecified G80.9

Dysphagia Cough: Excludes I: Cough with hemorrhage (R04.2), smoker's cough (J41.0)

R05

Dysphagia, unspecified: Difficulty in swallowing NOS R13.10

Dysphagia, oral phase R13.11

Dysphagia, oropharyngeal phase R13.12

Dysphagia, pharyngeal phase R13.13

Dysphagia, pharyngoesophageal phase R13.14

Other dysphagia: Cervical dysphagia, Neurogenic dysphagia

R13.19

Slow feeding of newborn P92.2

Other feeding problems of newborn P92.8

Feeding problem of newborn, unspecified P92.9

Language

Other symbolic dysfunctions: Abolition-language, Acalculia, Agrammatism, Agraphia (absolute), Aminia, Amusia, Anomia, Asymbolia, Bianchi’s syndrome, Blindness-psychic, Deafness-mental, Acalculia, Dyscalculia, Dysfunction symbolic, Echolalia, Gerstmann’s syndrome, Palilalia, Perseveration (tonic)

R48.8







Motor Speech Apraxia R48.2

Dysarthria and anarthria: Excludes1: Dysarthria following cerebrovascular disease (I69. with final characters -22)

R47.1

Dyspnea, unspecified R06.00

Other forms of dyspnea R06.09

Other abnormalities of breathing: Breath-holding (spells), Sighing

R06.89

Stroke: Cognition and Language

Attention and concentration deficit following

nontraumatic subarachnoid hemorrhage

I69.010

Frontal lobe and executive function deficit following

nontraumatic subarachnoid hemorrhage

I69.014

Cognitive social or emotional deficit following

nontraumatic subarachnoid hemorrhage **Include areas

of function and safety in documentation

I69.015

Other symptoms and signs involving cognitive functions

following nontraumatic subarachnoid hemorrhage

I69.018

Attention and concentration deficit following

nontraumatic intracerebral hemorrhage

I69.110


nontraumatic intracerebral hemorrhage

I69.114

Cognitive social or emotional deficit following

nontraumatic intracerebral hemorrhage **Include areas

of function and safety in documentation

I69.115

Attention and concentration deficit following other

nontraumatic intracranial hemorrhage

I69.210


other nontraumatic intracranial hemorrhage

I69.214

Cognitive social or emotional deficit following other

nontraumatic intracranial hemorrhage **Include areas of

function and safety in documentation

I69.215


following other nontraumatic intracranial hemorrhage

I69.218

Attention and concentration deficit following cerebral

infarction

I69.310


cerebral infarction

I69.314







Stroke: Cognition and Language (Con’t)

Cognitive social or emotional deficit following cerebral

infarction **Include areas of function and safety in

documentation

I69.315


following cerebral infarction

I69.318

Attention and concentration deficit following other

cerebrovascular disease

I69.810


other cerebrovascular disease

I69.814

Cognitive social or emotional deficit following other

cerebrovascular disease **Include areas of function and

safety in documentation

I69.815


following other cerebrovascular disease

I69.818

Attention and concentration deficit following unspecified

cerebrovascular disease

I69.910


unspecified cerebrovascular disease

I69.914

Cognitive social or emotional deficit following unspecified

cerebrovascular disease **Include areas of function and

safety in documentation

I69.915


following unspecified cerebrovascular disease

I69.918

Other speech and language deficits following unspecified cerebrovascular disease

I69.928

Aphasia following nontraumatic subarachnoid hemorrhage

I69.020

Aphasia following nontraumatic intracerebral hemorrhage

I69.120

Aphasia following other nontraumatic intracranial hemorrhage

I69.220

Aphasia following cerebral infarction I69.320

Aphasia following other cerebrovascular disease I69.820

Aphasia following unspecified cerebrovascular disease I69.920

Dysphasia following nontraumatic subarachnoid hemorrhage

I69.021

Dysphasia following nontraumatic intracerebral hemorrhage

I69.121

Dysphasia following other nontraumatic intracranial hemorrhage

I69.221








Dysphasia following cerebral infarction I69.321

Dysphasia following other cerebrovascular disease I69.821

Dysphasia following unspecified cerebrovascular disease I69.921

Dysarthria following nontraumatic subarachnoid hemorrhage

I69.022

Dysarthria following nontraumatic intracerebral hemorrhage

I69.122

Dysarthria following other nontraumatic intracranial hemorrhage

I69.222

Dysarthria following cerebral infarction I69.322

Dysarthria following other cerebrovascular disease I69.822

Dysarthria following unspecified cerebrovascular disease I69.922

Fluency disorder following nontraumatic subarachnoid hemorrhage: Stuttering following nontraumatic subarachnoid hemorrhage

I69.023

Fluency disorder following nontraumatic intracerebral hemorrhage: Stuttering following nontraumatic intrcerebral hemorrhage

I69.123

Fluency disorder following other nontraumatic intracranial hemorrhage: Stuttering following other nontraumatic intracranial hemorrhage

I69.223

Fluency disorder following cerebral infarction: Stuttering following cerebral infarction

I69.323

Fluency disorder following other cerebrovascular disease: Stuttering following other cerebrovascular disease

I69.823

Fluency disorder following unspecified cerebrovascular disease: Stuttering following other cerebrovascular disease

I69.923

Other speech and language deficits following nontraumatic subarachnoid hemorrhage

I69.028

Other speech and language deficits following nontraumatic intracerebral hemorrhage

I69.128

Other speech and language deficits following other nontraumatic intracranial hemorrhage

I69.228

Other speech and language deficits following cerebral infarction

I69.328

Other speech and language deficits following other cerebrovascular disease

I69.828








Other speech and language deficits following unspecified cerebrovascular disease

I69.928

Apraxia following nontraumatic subarachnoid hemorrhage

I69.090

Apraxia following nontraumatic intracerebral hemorrhage I69.190

Apraxia following other nontraumatic intracranial hemorrhage

I69.290

Apraxia following cerebral infarction I69.390

Apraxia following other cerebrovascular disease I69.890

Apraxia following unspecified cerebrovascular disease I69.990

Dysphagia following nontraumatic subarachnoid hemorrhage

I69.091

Dysphagia following nontraumatic intracerebral hemorrhage

I69.191

Dysphagia following other nontraumatic intracranial hemorrhage

I69.291

Dysphagia following cerebral infarction I69.391

Dysphagia following other cerebrovascular disease I69.891

Dysphagia following unspecified cerebrovascular disease I69.991

Facial weakness following nontraumatic subarachnoid hemorrhage: Facial droop following nontraumatic subarachnoid hemorrhage

I69.092

Facial weakness following nontraumatic intracerebral hemorrhage: Facial droop following nontraumatic intracerebral hemorrhage

I69.192

Facial weakness following other nontraumatic intracranial hemorrhage: Facial droop following other nontraumatic intracranial hemorrhage

I69.292

Facial weakness following cerebral infarction: Facial droop following cerebral infarction

I69.392

Facial weakness following other cerebrovascular disease: Facial droop following other cerebrovascular disease

I69.892

Facial weakness following unspecified cerebrovascular disease: Facial droop following unspecified cerebrovascular disease

I69.992

Ataxia following nontraumatic subarachnoid hemorrhage I69.093

Ataxia following nontraumatic intracerebral hemorrhage I69.193








Ataxia following other nontraumatic intracranial hemorrhage

I69.293

Ataxia following cerebral infarction I69.393

Ataxia following other cerebrovascular disease I69.893

Ataxia following unspecified cerebrovascular disease I69.993

Vocal Cord Paralysis of vocal cords and larynx, unspecified J38.00

Paralysis of vocal cords and larynx, unilateral J38.01

Paralysis of vocal cords and larynx, unilateral J38.01

Paralysis of vocal cords and larynx, bilateral J38.02

Paralysis of vocal cords and larynx, bilateral J38.02

Polyp of vocal cord and larynx J38.1

Edema of larynx: Edema (of) glottis, Subglottic edema, Supraglottic edema

J38.4

Stenosis of larynx J38.6

Laryngeal spasm J38.5

Voice

Unspecified voice and resonance disorder: Change in voice NOS, Resonance disorder NOS, Speech resonance disorder

R49.9

Aphonia: Loss of voice R49.1

Dysphonia: Hoarseness R49.0

Hypernasality R49.21

Hyponasality R49.22

Other voice and resonance disorders R49.8

Unspecified voice and resonance disorder R49.9

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