ICD-10 Coding for Aphasia following Cerebrovascular Accident (CVA)(I69.321, R47.01)
Complete ICD-10-CM coding and documentation guide for Aphasia following Cerebrovascular Accident (CVA). Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Aphasia following Cerebrovascular Accident (CVA)
I69.3-I69.9Primary Range
Sequelae of cerebrovascular disease
This range includes codes for conditions that are sequelae of cerebrovascular diseases, such as aphasia following a stroke.
Speech disturbances and language disorders
This range includes codes for specific types of aphasia and other speech disturbances that may be used as ancillary codes.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I69.321 | Aphasia following cerebral infarction | Use when aphasia is a sequela of a previous cerebral infarction. |
|
| R47.01 | Aphasia, fluent | Use as an ancillary code to specify fluent aphasia type. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for aphasia following CVA
Essential facts and insights about Aphasia following Cerebrovascular Accident (CVA)
Primary ICD-10-CM Codes for aphasia following costovertebral angle
Decision Criteria
clinical Criteria
- Aphasia present post-stroke
Applicable To
- Aphasia due to previous cerebral infarction
Excludes
- Acute cerebral infarction (I63.x)
Clinical Validation Requirements
- Documented history of cerebral infarction
- Current presence of aphasia
Code-Specific Risks
- Misclassification as acute stroke
Coding Notes
- Ensure documentation specifies aphasia as a sequela of a past stroke.
R47.01 - Aphasia, fluent
Use as an ancillary code to specify fluent aphasia type.
Applicable To
- Fluent aphasia
Excludes
- Non-fluent aphasia (R47.02)
Clinical Validation Requirements
- Speech-language pathologist assessment indicating fluent aphasia
Coding Notes
Document the type of aphasia clearly to support code selection.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Aphasia, fluent
R47.01Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Aphasia following Cerebrovascular Accident (CVA) to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I69.321.
Impact
Clinical: Impacts treatment planning, Regulatory: Non-compliance with documentation standards, Financial: Potential claim denials
Mitigation Strategy
Use specific terms like 'fluent' or 'non-fluent', Document assessment results
Impact
Reimbursement: Incorrect coding can lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Use I69.xxx codes for sequelae of stroke.
Impact
Failure to sequence I69.xxx before R47.0x can lead to audit flags.
Mitigation Strategy
Educate coders on proper sequencing rules.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Aphasia following Cerebrovascular Accident (CVA), with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Aphasia following Cerebrovascular Accident (CVA)
Use these documentation templates to ensure complete and accurate documentation for Aphasia following Cerebrovascular Accident (CVA). These templates include all required elements for proper coding and billing.
Chronic aphasia post-stroke
Specialty: NeurologyRequired Elements
- Type of aphasia
- Temporal relationship to stroke
- Assessment results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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