I69.328 Other speech and language deficits following cerebral infarction

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

Applies from I69.3 Sequelae of cerebral infarction

Applicable to

• Sequelae of stroke NOS

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 I69.328

Back-references to I69.3

• Type 2 Excludes: I63 Cerebral infarction ("sequelae of cerebral infarction (I69.3-)")
• Type 1 Excludes: I69.9 Sequelae of unspecified cerebrovascular diseases ("sequelae of stroke (I69.3)")

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 I69.328

• Sequelae (of) › infarction › cerebral › language deficit NEC
• Sequelae (of) › infarction › cerebral › speech deficit NEC
• Sequelae (of) › stroke NOS › language deficit NEC
• Sequelae (of) › stroke NOS › speech deficit NEC

Nearby codes

• I69.32 Speech and language deficits following cerebral infarction
• I69.320 Aphasia following cerebral infarction
• I69.321 Dysphasia following cerebral infarction
• I69.322 Dysarthria following cerebral infarction
• I69.323 Fluency disorder following cerebral infarction
• I69.328 Other speech and language deficits following cerebral infarction (this code)
• I69.33 Monoplegia of upper limb following cerebral infarction
• I69.331 Monoplegia of upper limb following cerebral infarction affecting right dominant side
• I69.332 Monoplegia of upper limb following cerebral infarction affecting left dominant side
• I69.333 Monoplegia of upper limb following cerebral infarction affecting right non-dominant side
• I69.334 Monoplegia of upper limb following cerebral infarction affecting left non-dominant side