Alphabetic Index FY2027

I69.32

Speech and language deficits following cerebral infarction

FY2027Chapter 9: Diseases of the circulatory system/I60–I69 Cerebrovascular diseases

Non-billable headerNot valid on its own. Use one of the more specific codes under it.

I69.32 is a non-billable ICD-10-CM code header for speech and language deficits following cerebral infarction. Report a more specific code from it instead. It is part of the FY2027 code set, effective October 1, 2026. The more specific codes under it are I69.320 Aphasia following cerebral infarction, I69.321 Dysphasia following cerebral infarction, I69.322 Dysarthria following cerebral infarction, I69.323 Fluency disorder following cerebral infarction and 1 more. Its coding notes include a Use additional code instruction, 5 Excludes1 entries and 10 Excludes2 entries.

Guidelines tips

From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.

These codes identify whether the dominant or nondominant side is affected. The Guidelines give defaults when the side is documented but dominance is not.

Guidelines I.C.9.d.1; I.C.6.aHemiplegia and monoplegia: dominant and nondominant sideRead the official text

I69 requires neurologic deficits. It can be reported alongside a current I60–I67 code when deficits from an old event are also present.

Guidelines I.C.9.d.2; I.C.9.d.3Sequelae of cerebrovascular disease (I69)Read the official text

Use additional code

Add the listed code as a secondary code, if known.

Also from chapter/block level (8 notes)
Inherited from I60–I69 Cerebrovascular diseases
  • code to identify presence of:
    • alcohol abuse and dependence (F10.-)
    • exposure to environmental tobacco smoke (Z77.22)
    • history of tobacco dependence (Z87.891)
    • hypertension (I10-I1A)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)

Excludes1

Not coded here. The listed conditions generally should not be reported together.

Inherited from I69 Sequelae of cerebrovascular disease
  • personal history of cerebral infarction without residual deficit (Z86.73)
  • personal history of prolonged reversible ischemic neurologic deficit (PRIND) (Z86.73)
  • personal history of reversible ischemic neurologcial deficit (RIND) (Z86.73)
  • sequelae of traumatic intracranial injury (S06.-)
Also from chapter/block level (1 note)
Inherited from I60–I69 Cerebrovascular diseases
  • traumatic intracranial hemorrhage (S06.-)

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Also from chapter/block level (10 notes)
Inherited from Chapter 9 Diseases of the circulatory system
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
  • systemic connective tissue disorders (M30-M36)
  • transient cerebral ischemic attacks and related syndromes (G45.-)

Notes

Inherited from I69 Sequelae of cerebrovascular disease
  • Category I69 is to be used to indicate conditions in I60-I67 as the cause of sequelae. The 'sequelae' include conditions specified as such or as residuals which may occur at any time after the onset of the causal condition

More specific codes under I69.32 5