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ICD-10 Guide
ICD-10 CodesI69.010

I69.010

Billable

Attention and concentration deficit following nontraumatic subarachnoid hemorrhage

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

Code Description

ICD-10 I69.010 is a billable code used to indicate a diagnosis of attention and concentration deficit following nontraumatic subarachnoid hemorrhage.

Key Diagnostic Point:

I69.010 refers to attention and concentration deficit following a nontraumatic subarachnoid hemorrhage (SAH), which is a type of stroke caused by bleeding into the space surrounding the brain. Clinically, patients may present with cognitive impairments, particularly in attention and concentration, which can significantly affect daily functioning and quality of life. The anatomy involved includes the cerebral vasculature and the subarachnoid space, where the hemorrhage occurs. Disease progression can vary; while some patients may experience gradual improvement, others may have persistent deficits. Diagnostic considerations include neuropsychological assessments to evaluate cognitive function, alongside imaging studies such as CT or MRI to confirm the presence of SAH and rule out other causes of cognitive impairment. Understanding the underlying cardiovascular conditions that may have contributed to the hemorrhage, such as hypertension or aneurysms, is also crucial for comprehensive patient management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires thorough neuropsychological evaluation and imaging studies.
  • Treatment complexity: May involve multidisciplinary approaches including neurology, rehabilitation, and psychology.
  • Documentation requirements: Detailed clinical documentation is necessary to support the diagnosis and treatment plan.
  • Coding specificity: Requires precise coding to differentiate from other post-stroke conditions.

Audit Risk Factors

  • Common coding errors: Misclassification of cognitive deficits or failure to document the specific type of cognitive impairment.
  • Documentation gaps: Incomplete clinical notes regarding the patient's cognitive assessments and treatment outcomes.
  • Billing challenges: Potential denials due to lack of supporting documentation for the cognitive deficits.

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

Psychiatry

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

The clinical significance of I69.010 lies in its impact on patient quality of life and functional independence. Attention and concentration deficits can lead to challenges in work, social interactions, and overall mental health. Population health impact includes increased healthcare utilization due to the need for rehabilitation services and ongoing cognitive assessments. Understanding the epidemiology of SAH and its sequelae is essential for developing effective interventions and improving patient outcomes.

ICD-9 vs ICD-10

The clinical significance of I69.010 lies in its impact on patient quality of life and functional independence. Attention and concentration deficits can lead to challenges in work, social interactions, and overall mental health. Population health impact includes increased healthcare utilization due to the need for rehabilitation services and ongoing cognitive assessments. Understanding the epidemiology of SAH and its sequelae is essential for developing effective interventions and improving patient outcomes.

Reimbursement & Billing Impact

impact on the patient's daily life. Reimbursement considerations include ensuring that the treatment plan is well-documented and aligns with the billed services. Common denials may arise from insufficient documentation of the cognitive assessments or lack of clarity in the treatment plan. Best practices include maintaining thorough clinical notes and ensuring that all services rendered are clearly linked to the diagnosis of attention and concentration deficits following SAH.

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 I69.010?

I69.010 specifically covers attention and concentration deficits that arise as a direct consequence of a nontraumatic subarachnoid hemorrhage. This includes cognitive impairments that affect the ability to focus, sustain attention, and process information, which can be assessed through neuropsychological testing.

When should I69.010 be used instead of related codes?

I69.010 should be used when the primary issue is attention and concentration deficits following a nontraumatic SAH. It is important to differentiate this from other cognitive deficits, such as memory loss or aphasia, which would require different codes.

What documentation supports I69.010?

Documentation should include a detailed clinical history of the patient's SAH, results from neuropsychological evaluations indicating attention and concentration deficits, and any relevant imaging studies that confirm the diagnosis. Treatment plans and progress notes should also be included to support ongoing care.