Back to HomeBeta

ICD-10 Coding for Dysarthria due to Stroke(I69.351, R47.1)

Complete ICD-10-CM coding and documentation guide for Dysarthria due to Stroke. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Speech disorder post-strokeDysarthria secondary to cerebrovascular accident

Quick Navigation

Related ICD-10 Code Ranges

Complete code families applicable to Dysarthria due to Stroke

I69.3Primary Range

Sequelae of cerebral infarction

Primary range for coding residual effects of stroke, including dysarthria.

R47.1

Dysarthria and anarthria

Used to specify the speech disorder resulting from the stroke.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
I69.351Sequelae of cerebral infarction, right dominant sideUse when documenting residual effects of a stroke on the right dominant side.
  • Documented history of stroke
  • Neurological assessment showing right-sided deficits
R47.1Dysarthria and anarthriaUse as a secondary code to specify dysarthria due to stroke.
  • Speech assessment confirming dysarthria
  • Neurological exam linking speech disorder to stroke

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 dysarthria due to stroke

Essential facts and insights about Dysarthria due to Stroke

The ICD-10 code for dysarthria due to stroke is R47.1, used with an I69.3 code for stroke sequelae.

Primary ICD-10-CM Codes for dysarthria due to costovertebral angle

I69.351
Sequelae of cerebral infarction, right dominant side
Billable Code

Decision Criteria

clinical Criteria

  • Presence of residual stroke effects on the right dominant side

documentation Criteria

  • Explicit linkage of dysarthria to stroke

Applicable To

  • Residual effects of stroke on the right dominant side

Excludes

Clinical Validation Requirements

  • Documented history of stroke
  • Neurological assessment showing right-sided deficits

Code-Specific Risks

  • Incorrect sequencing with R47.1
  • Missing documentation of laterality

Coding Notes

  • Ensure laterality and dominance are documented.
View Full Code Details

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Dysarthria and anarthria

R47.1
Used to specify speech disorder due to stroke.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Acute cerebral infarction

I63.9
Use only during the acute phase of stroke treatment.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Dysarthria due to Stroke to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I69.351.

Impact

Clinical: Inaccurate clinical records, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials

Mitigation Strategy

Always document the affected side, Use templates that prompt for laterality

Impact

Reimbursement: Potential denial of claims due to incomplete coding, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate representation of patient condition

Mitigation Strategy

Always pair R47.1 with an appropriate I69.3 code.

Impact

Failure to document the cause-effect relationship between stroke and dysarthria

Mitigation Strategy

Use structured templates and ensure thorough clinical assessments

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 Dysarthria due to Stroke, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Dysarthria due to Stroke

Use these documentation templates to ensure complete and accurate documentation for Dysarthria due to Stroke. These templates include all required elements for proper coding and billing.

Post-stroke dysarthria assessment

Specialty: Neurology

Required Elements

  • Patient history of stroke
  • Speech assessment results
  • Neurological exam findings
  • Imaging results

Example Documentation

**Subjective**: Pt reports 'slurred speech' since CVA on [date]. **Objective**: CN VII: Right facial weakness. Speech: Imprecise consonants, monoloudness. MRI: Left MCA territory infarct. **Assessment**: 1. Spastic dysarthria (R47.1) due to sequelae of left MCA infarction (I69.321). 2. Right hemiparesis (I69.351). **Plan**: Speech therapy 3x/week.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has slurred speech and history of stroke.
Good Documentation Example
Chronic spastic dysarthria secondary to left middle cerebral artery infarction (I63.511) with residual right hemiparesis (I69.351). Oral phase dysphagia and imprecise consonants observed.
Explanation
The good example explicitly links dysarthria to the stroke and provides detailed clinical findings.

Need help with ICD-10 coding for Dysarthria due to Stroke? Ask your questions below.

Ask about any ICD-10 CM code, or paste a medical note

We build tools for
clinician happiness.

Learn More at Freed.ai
Back to HomeBeta

Built by Freed

Try Freed for free for 7 days.

Learn more

Helpful Links

How ICD 10 AI Lookup WorksContact UsPrivacy Policy