Alphabetic Index FY2027

I69.822

Dysarthria following other cerebrovascular disease

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

BillableComplete code, valid to report
Care settingsHome Health Primary · Neuro RehabilitationIPF Primary · MS-DRG 056–057

I69.822 (also written I69822) is a billable ICD-10-CM diagnosis code for dysarthria following other cerebrovascular disease. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 240 codes in category I69 (Sequelae of cerebrovascular disease). The Alphabetic Index lists it under 2 entries. Its coding notes include a Use additional code instruction, 6 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 I69.8 Sequelae of other cerebrovascular diseases
  • sequelae of traumatic intracranial injury (S06.-)
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.-)

Care settings

How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.

Home Health Primary

Accepted as the primary (principal) diagnosis on a home health claim. The Home Health Grouper assigns it to the Neuro Rehabilitation clinical group.

Source: CMS Home Health Grouper Software v07.2.26, effective October 1, 2026

IPF Primary

IPF MS-DRG adjustment. A principal diagnosis of this code groups to one of these MS-DRGs. Which one depends on other facts of the stay, so the factor is a range:

MS-DRGDescriptionFactor
056Degenerative nervous system disorders w MCC1.12
057Degenerative nervous system disorders w/o MCC1.11
A principal diagnosis that groups to none of the 19 designated MS-DRGs gets no MS-DRG adjustment. Otherwise the claim still receives the federal per diem base rate and the other adjustments.

Source: CMS IPF PPS FY 2027 final rule (CMS-1847-F), Addendum A; code lists from the CMS MS-DRG Definitions Manual v44; effective for discharges on or after October 1, 2026

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

Alphabetic Index terms

Terms the official Alphabetic Index lists for this code. 2 entries