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ICD-10 Guide
ICD-10 CodesI69.011

I69.011

Billable

Memory deficit following nontraumatic subarachnoid hemorrhage

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

Code Description

ICD-10 I69.011 is a billable code used to indicate a diagnosis of memory deficit following nontraumatic subarachnoid hemorrhage.

Key Diagnostic Point:

I69.011 refers to memory deficit following a nontraumatic subarachnoid hemorrhage (SAH), which is a type of stroke caused by bleeding into the space surrounding the brain. This condition often results from the rupture of an aneurysm or arteriovenous malformation. Clinically, patients may present with sudden severe headache, neck stiffness, nausea, and altered consciousness. The anatomy involved includes the subarachnoid space, which houses cerebrospinal fluid and is critical for cushioning the brain. Disease progression can lead to complications such as vasospasm, which can exacerbate neurological deficits, including memory impairment. Diagnostic considerations include neuroimaging techniques like CT or MRI to confirm the presence of hemorrhage and assess for potential causes. Cognitive assessments may also be conducted to evaluate the extent of memory deficits. Understanding the interplay between cardiovascular health and neurological outcomes is essential, as conditions such as hypertension can increase the risk of SAH and subsequent cognitive decline.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires thorough evaluation of neurological status and imaging studies.
  • Treatment complexity: Involves multidisciplinary management including neurology, neurosurgery, and rehabilitation.
  • Documentation requirements: Detailed clinical notes and imaging reports are essential for accurate coding.
  • Coding specificity: Requires precise coding to differentiate from other types of stroke-related memory deficits.

Audit Risk Factors

  • Common coding errors: Misclassification of the type of hemorrhage or cognitive impairment.
  • Documentation gaps: Incomplete records regarding the patient's cognitive assessments or treatment plans.
  • Billing challenges: Potential denials due to insufficient documentation supporting 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

Neurosurgery

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 I69.011 lies in its association with long-term cognitive impairment, which can significantly affect a patient's quality of life and functional independence. The population health impact is substantial, as subarachnoid hemorrhages are a leading cause of stroke-related morbidity. Understanding the epidemiological patterns of SAH and its cognitive sequelae can inform healthcare utilization patterns and guide preventive strategies in at-risk populations.

ICD-9 vs ICD-10

The clinical significance of I69.011 lies in its association with long-term cognitive impairment, which can significantly affect a patient's quality of life and functional independence. The population health impact is substantial, as subarachnoid hemorrhages are a leading cause of stroke-related morbidity. Understanding the epidemiological patterns of SAH and its cognitive sequelae can inform healthcare utilization patterns and guide preventive strategies in at-risk populations.

Reimbursement & Billing Impact

Reimbursement considerations include verifying that the services provided align with the diagnosis and that all necessary documentation is included to avoid denials. Common denials may arise from insufficient evidence of the cognitive impairment or lack of clarity in the medical necessity of the services rendered. Best practices include maintaining comprehensive clinical notes and ensuring that all relevant tests and assessments are documented thoroughly.

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 I69.011?

I69.011 specifically covers memory deficits that arise as a direct consequence of a nontraumatic subarachnoid hemorrhage. This includes cognitive impairments that may manifest as difficulty in recalling information, problems with attention, and other related cognitive dysfunctions.

When should I69.011 be used instead of related codes?

I69.011 should be used when the memory deficit is specifically linked to a nontraumatic subarachnoid hemorrhage. If the memory deficit is due to other types of strokes or conditions, different codes such as I69.012 or I69.018 should be considered.

What documentation supports I69.011?

Documentation should include a detailed account of the patient's clinical presentation, results from neuroimaging studies confirming the SAH, cognitive assessment results, and any treatment interventions undertaken. This ensures that the coding accurately reflects the patient's condition.