I69.228 Other speech and language deficits following other nontraumatic intracranial hemorrhage

Billable ICD-10-CM code, FY2026. Exempt from present-on-admission (POA) reporting.

Applies from I69 Sequelae of cerebrovascular disease

Excludes1 (never code together)

• 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.-)

Notes

• 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

MS-DRG index

Defines the logic of DRG(s) 056-057 in MDC 01.

Approximate ICD-9-CM (GEMs)

• 438.19 Late effects of cerebrovascular disease, other speech and language deficits (approximate)

Code annotations containing back-references to I69.228

Back-references to I69.22

• Type 1 Excludes: F06.7 Mild neurocognitive disorder due to known physiological condition ("cognitive deficits following (sequelae of) cerebral hemorrhage or infarction (I69.01-I69.11-, I69.21-I69.31-, I69.81- I69.91-)")

Back-references to I69.2

• Type 2 Excludes: I62 Other and unspecified nontraumatic intracranial hemorrhage ("sequelae of intracranial hemorrhage (I69.2)")

Back-references to I69

• Code First: F48.2 Pseudobulbar affect ("sequelae of cerebrovascular disease (I69.-)")
• Type 1 Excludes: F80.81 Childhood onset fluency disorder ("fluency disorder (stuttering) following cerebrovascular disease (I69. with final characters -23)")
• Type 1 Excludes: F98.5 Adult onset fluency disorder ("fluency disorder (stuttering) following cerebrovascular disease (I69. with final characters -23)")
• Type 1 Excludes: G31.84 Mild cognitive impairment of uncertain or unknown etiology ("cerebrovascular diseases (I60-I69)")
• Code First: G46 Vascular syndromes of brain in cerebrovascular diseases ("underlying cerebrovascular disease (I60-I69)")
• Type 2 Excludes: I10 Essential (primary) hypertension ("essential (primary) hypertension involving vessels of brain (I60-I69)")
• Type 2 Excludes: I15 Secondary hypertension ("secondary hypertension involving vessels of brain (I60-I69)")
• Code First: R13.1 Dysphagia (", if applicable, dysphagia following cerebrovascular disease (I69. with final characters -91)")
• Type 1 Excludes: R27.0 Ataxia, unspecified ("ataxia following cerebrovascular disease (I69. with final characters -93)")
• Type 1 Excludes: R29.810 Facial weakness ("facial weakness following cerebrovascular disease (I69. with final characters -92)")
• Type 1 Excludes: R47.01 Aphasia ("aphasia following cerebrovascular disease (I69. with final characters -20)")
• Type 1 Excludes: R47.02 Dysphasia ("dysphasia following cerebrovascular disease (I69. with final characters -21)")
• Type 1 Excludes: R47.1 Dysarthria and anarthria ("dysarthria following cerebrovascular disease (I69. with final characters -22)")
• Type 1 Excludes: R47.8 Other speech disturbances ("dysarthria following cerebrovascular disease (I69. with final characters -28)")
• Type 1 Excludes: R47.82 Fluency disorder in conditions classified elsewhere ("fluency disorder (stuttering) following cerebrovascular disease (I69. with final characters -23)")
• Type 1 Excludes: R48.2 Apraxia ("apraxia following cerebrovascular disease (I69. with final characters -90)")
• Type 1 Excludes: Z86.73 Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits ("sequelae of cerebrovascular disease (I69.-)")

Diagnosis Index entries for I69.228

• Sequelae (of) › hemorrhage › intracranial, nontraumatic NEC › language deficit NEC
• Sequelae (of) › hemorrhage › intracranial, nontraumatic NEC › speech deficit NEC

Nearby codes

• I69.22 Speech and language deficits following other nontraumatic intracranial hemorrhage
• I69.220 Aphasia following other nontraumatic intracranial hemorrhage
• I69.221 Dysphasia following other nontraumatic intracranial hemorrhage
• I69.222 Dysarthria following other nontraumatic intracranial hemorrhage
• I69.223 Fluency disorder following other nontraumatic intracranial hemorrhage
• I69.228 Other speech and language deficits following other nontraumatic intracranial hemorrhage (this code)
• I69.23 Monoplegia of upper limb following other nontraumatic intracranial hemorrhage
• I69.231 Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting right dominant side
• I69.232 Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting left dominant side
• I69.233 Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting right non-dominant side
• I69.234 Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting left non-dominant side