ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 I69.998

Billable / Specific

Other sequelae following unspecified cerebrovascular disease

I69
Block
2
Synonyms
369
LCDs
12
Payer Policies
0
Linked CPTs

About ICD-10-CM I69.998

ICD-10-CM code I69.998 represents Other sequelae following unspecified cerebrovascular disease. This is a billable/specific code in the Circulatory System chapter (block I69). The 2026 edition of ICD-10-CM I69.998 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under I69.998. Per CMS ICD-10-CM Tabular 2026.

  • Alteration in sensation following unspecified cerebrovascular disease
  • Disturbance of vision following unspecified cerebrovascular disease

Use Additional Code

When coding I69.998, also report these additional codes when applicable.

  • code to identify the sequelae

Medicare LCD Coverage for I69.998

Local Coverage Determinations (LCDs) from CMS MACs that list I69.998 as a covered diagnosis.

369 LCDs

Showing top 10 of 369 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 29131 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 29260 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 29580 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 97036 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 29445 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 97542 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 97110 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 97533 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 29130 →
CMS LCD: Billing and Coding: Outpatient Physical Therapy
Article ID: 53065, Effective: 2026-01-01 00:00:00, 22208 covered, 0 non-covered
CPT 29405 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing I69.998.

12 policies

5 Aetna

Obstructive Sleep Apnea in Adults - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0004
Transcranial Doppler Ultrasonography
Policy ID: CPB-0353
Standing Frames, Tables, and Transfer Boards
Policy ID: CPB-0481
Heart Transplantation
Policy ID: CPB-0586
Pancreas Kidney Transplantation
Policy ID: CPB-0587

5 Medicare

Billing and Coding: Home Health Occupational Therapy
Policy ID: ART-53057
Billing and Coding: Home Health Physical Therapy
Policy ID: ART-53058
Billing and Coding: Outpatient Occupational Therapy
Policy ID: ART-53064
Billing and Coding: Outpatient Physical Therapy
Policy ID: ART-53065
Billing and Coding: Speech-Language Pathology
Policy ID: ART-57040

CPT Codes Commonly Billed with I69.998

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for I69.998

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert I69.998 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
I69.998 4386 10000
I69.998 4387 10000
I69.998 43889 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

Codes Adjacent To I69.998

Other codes in section I60-I69 (Cerebrovascular diseases).

I60 Nontraumatic subarachnoid hemorrhage (non-billable) I60.0 Nontraumatic subarachnoid hemorrhage from carotid siphon and bifurcation (non-billable) I60.00 Nontraumatic subarachnoid hemorrhage from unspecified carotid siphon and bifurcation I60.01 Nontraumatic subarachnoid hemorrhage from right carotid siphon and bifurcation I60.02 Nontraumatic subarachnoid hemorrhage from left carotid siphon and bifurcation I60.1 Nontraumatic subarachnoid hemorrhage from middle cerebral artery (non-billable) I60.10 Nontraumatic subarachnoid hemorrhage from unspecified middle cerebral artery I60.11 Nontraumatic subarachnoid hemorrhage from right middle cerebral artery I60.12 Nontraumatic subarachnoid hemorrhage from left middle cerebral artery I60.2 Nontraumatic subarachnoid hemorrhage from anterior communicating artery I60.3 Nontraumatic subarachnoid hemorrhage from posterior communicating artery (non-billable) I60.30 Nontraumatic subarachnoid hemorrhage from unspecified posterior communicating artery I60.31 Nontraumatic subarachnoid hemorrhage from right posterior communicating artery I60.32 Nontraumatic subarachnoid hemorrhage from left posterior communicating artery I60.4 Nontraumatic subarachnoid hemorrhage from basilar artery I60.5 Nontraumatic subarachnoid hemorrhage from vertebral artery (non-billable) I60.50 Nontraumatic subarachnoid hemorrhage from unspecified vertebral artery I60.51 Nontraumatic subarachnoid hemorrhage from right vertebral artery I60.52 Nontraumatic subarachnoid hemorrhage from left vertebral artery I60.6 Nontraumatic subarachnoid hemorrhage from other intracranial arteries

ICD-10 I69.998, Billing FAQ

Is ICD-10 code I69.998 billable? +

Yes, I69.998 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to I69.998? +

ICD-10 I69.998 includes: Alteration in sensation following unspecified cerebrovascular disease; Disturbance of vision following unspecified cerebrovascular disease.

What ICD-9 codes does I69.998 map to? +

Per CMS GEMs, I69.998 maps to ICD-9 codes: 4386, 4387, 43889. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on June 1, 2026.

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