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ICD-10 Guide
ICD-10 CodesI69.01

I69.01

Non-billable

Cognitive deficits following nontraumatic subarachnoid hemorrhage

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 I69.01 is a used to indicate a diagnosis of cognitive deficits following nontraumatic subarachnoid hemorrhage.

Key Diagnostic Point:

Cognitive deficits following nontraumatic subarachnoid hemorrhage (SAH) are a significant concern in patients who have experienced this type of cerebrovascular accident. SAH occurs when there is bleeding in the space surrounding the brain, often due to the rupture of an aneurysm or arteriovenous malformation. Clinically, patients may present with sudden severe headache, neck stiffness, and altered consciousness. The cognitive deficits associated with I69.01 can manifest as memory loss, difficulty concentrating, and impaired executive function, which can significantly affect daily living and quality of life. The anatomy involved includes the cerebral vasculature and the surrounding meninges, which can be compromised during the hemorrhagic event. Disease progression may lead to complications such as vasospasm, which can exacerbate cognitive impairment. Diagnostic considerations include neuroimaging studies such as CT or MRI to confirm the presence of SAH and assess for any secondary complications. Neuropsychological assessments may also be utilized to evaluate the extent of cognitive deficits.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires imaging and clinical evaluation to confirm diagnosis.
  • Treatment complexity: Management may involve neurosurgical intervention and rehabilitation.
  • Documentation requirements: Detailed documentation of cognitive assessments and treatment plans is necessary.
  • Coding specificity: Requires precise coding to differentiate from other types of cognitive deficits.

Audit Risk Factors

  • Common coding errors: Misclassification of cognitive deficits related to other cerebrovascular events.
  • Documentation gaps: Incomplete records regarding the onset and nature of cognitive deficits.
  • Billing challenges: Potential denials if documentation does not clearly support the diagnosis.

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Rehabilitation Medicine

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related ICD-10 Codes

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Cognitive deficits following nontraumatic subarachnoid hemorrhage have significant clinical implications, affecting patient quality of life and functional independence. The population health impact is considerable, as these deficits can lead to increased healthcare utilization, including rehabilitation services and long-term care. Quality measures may focus on cognitive rehabilitation outcomes and patient satisfaction. Epidemiologically, the incidence of SAH and its sequelae underscores the need for effective management strategies to address the cognitive impairments that can arise from this condition.

ICD-9 vs ICD-10

Cognitive deficits following nontraumatic subarachnoid hemorrhage have significant clinical implications, affecting patient quality of life and functional independence. The population health impact is considerable, as these deficits can lead to increased healthcare utilization, including rehabilitation services and long-term care. Quality measures may focus on cognitive rehabilitation outcomes and patient satisfaction. Epidemiologically, the incidence of SAH and its sequelae underscores the need for effective management strategies to address the cognitive impairments that can arise from this condition.

Reimbursement & Billing Impact

Reimbursement considerations include the need for comprehensive documentation of cognitive assessments and treatment plans. Common denials may arise from insufficient documentation or failure to link cognitive deficits to the specific hemorrhagic event. Best practices include maintaining thorough records of patient evaluations, treatment progress, and any neuropsychological testing performed to substantiate the diagnosis and treatment provided.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for I00-I99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for I00-I99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by I69.01?

I69.01 specifically covers cognitive deficits that arise directly following a nontraumatic subarachnoid hemorrhage. This includes deficits in memory, attention, and executive function that can be assessed through neuropsychological testing.

When should I69.01 be used instead of related codes?

I69.01 should be used when cognitive deficits are specifically linked to a documented nontraumatic subarachnoid hemorrhage. If cognitive deficits are due to other cerebrovascular events or conditions, other codes should be selected.

What documentation supports I69.01?

Documentation should include a confirmed diagnosis of nontraumatic subarachnoid hemorrhage, results from neuroimaging studies, and detailed neuropsychological assessments that outline the nature and extent of cognitive deficits.