ICD10BillableValid for clinical use
ICD-10 Code I69.322: Dysarthria following cerebral infarction
Reviewed by HealthAssure Clinical TeamUpdated 26 May 2026
What is this code?
ICD-10 codes are diagnosis classification codes used in healthcare records, reporting, coding workflows, and billing support. This code sits within the broader ICD-10 area for Diseases of the circulatory system (I00-I99).
đź“‹Clinical overview
This ICD-10 code is commonly used when documentation describes chronic neurologic deficits following cerebral infarction. The most accurate code depends on whether the record identifies cognitive, speech, swallowing, motor, or other residual deficits, and whether laterality or side-dominance detail is documented.
When is it used?
- May be used when a clinician documents dysarthria following cerebral infarction in a patient's medical record.
- May appear in hospital records, claims, referrals, and clinical documentation.
- This code can be used as a clinically usable diagnosis entry in standardized coding workflows.
What it does not mean
- A code alone does not explain severity, treatment plan, or outcome.
- A medical code should not be treated as a substitute for a doctor's diagnosis or advice.
đź©şClinical context
When commonly used
- Neurology, stroke follow-up, rehabilitation, therapy, home-health, and primary-care documentation where lasting deficits after ischemic stroke remain clinically relevant.
- Coding and utilization-review workflows where the chart clearly links chronic neurologic impairment to prior cerebral infarction and the exact residual deficit pattern changes the final diagnosis code.
Common management context
- Post-stroke sequelae follow-up often includes neurologic exam findings, swallowing or speech assessment, cognitive review, therapy planning, mobility evaluation, and coordination across neurology, rehabilitation, and primary care.
- Documentation usually becomes more specific when the chart identifies the dominant residual deficit, affected side, dominant versus non-dominant involvement, dysphagia, aphasia, or other lasting functional impairment.
- Specialist context already linked on this page includes Cardiologist, General Physician, Neurologist, Stroke Specialist.
🔍Key distinctions
Important notes
- This ICD-10 family captures chronic sequelae attributed to prior cerebral infarction rather than an active new stroke event, and the final code usually depends on the documented residual deficit pattern.
- Cognitive, speech, swallowing, and motor deficits after ischemic stroke are coded separately from one another when the chart names the lasting impairment more specifically.
- Speech and language sequelae following cerebral infarction are coded separately from cognitive-only, swallowing, or motor residuals when the chart documents the dominant lasting deficit more specifically.
- Documentation that ties the residual deficit to prior cerebral infarction is coded differently from similar sequelae linked to hemorrhagic stroke or other intracranial hemorrhage.
Important exclusions
- transient ischemic attack (TIA) (G45.9)
Related codes to consider
I69.320Aphasia following cerebral infarction
Related cerebrovascular-sequela ICD-10 code; documentation often becomes more specific when the chart identifies the prior stroke type, dominant residual deficit, laterality or dominance, swallowing or speech involvement, or another lasting neurologic impairment.
I69.321Dysphasia following cerebral infarction
Related cerebrovascular-sequela ICD-10 code; documentation often becomes more specific when the chart identifies the prior stroke type, dominant residual deficit, laterality or dominance, swallowing or speech involvement, or another lasting neurologic impairment.
I69.323Fluency disorder following cerebral infarction
Related cerebrovascular-sequela ICD-10 code; documentation often becomes more specific when the chart identifies the prior stroke type, dominant residual deficit, laterality or dominance, swallowing or speech involvement, or another lasting neurologic impairment.
I69.328Other speech and language deficits following cerebral infarction
Related cerebrovascular-sequela ICD-10 code; documentation often becomes more specific when the chart identifies the prior stroke type, dominant residual deficit, laterality or dominance, swallowing or speech involvement, or another lasting neurologic impairment.
Code hierarchy
chapter
9Diseases of the circulatory system (I00-I99)
block
I60-I69Cerebrovascular diseases
category
I69Sequelae of cerebrovascular disease
category
I69.3Sequelae of cerebral infarction
category
I69.32Speech and language deficits following cerebral infarction
currentI69.32
Official coding notes
Excludes2 (may code together if documented)
- transient ischemic attack (TIA) (G45.9)
Where you may see this code
You may see this code in hospital records, discharge summaries, insurance claims, encounter documentation, referrals, or other healthcare billing and coding records.
Related specialists
CardiologistGeneral PhysicianNeurologistStroke Specialist
Related codes
Sibling codes
Coverage-related procedures and services
CPT 96105high
ASSESSMENT OF APHASIA (INCLUDES ASSESSMENT OF EXPRESSIVE AND RECEPTIVE SPEECH AND LANGUAGE FUNCTION, LANGUAGE COMPREHENSION, SPEECH PRODUCTION ABILITY, READING, SPELLING, WRITING, EG, BY BOSTON DIAGNOSTIC APHASIA EXAMINATION) WITH INTERPRETATION AND REPORT, PER HOUR
Source: CMS coverage guidance
CPT 96113high
DEVELOPMENTAL TEST ADMINISTRATION (INCLUDING ASSESSMENT OF FINE AND/OR GROSS MOTOR, LANGUAGE, COGNITIVE LEVEL, SOCIAL, MEMORY AND/OR EXECUTIVE FUNCTIONS BY STANDARDIZED DEVELOPMENTAL INSTRUMENTS WHEN PERFORMED), BY PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONAL, WITH INTERPRETATION AND REPORT; EACH ADDITIONAL 30 MINUTES (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
Source: CMS coverage guidance
CPT 96112high
DEVELOPMENTAL TEST ADMINISTRATION (INCLUDING ASSESSMENT OF FINE AND/OR GROSS MOTOR, LANGUAGE, COGNITIVE LEVEL, SOCIAL, MEMORY AND/OR EXECUTIVE FUNCTIONS BY STANDARDIZED DEVELOPMENTAL INSTRUMENTS WHEN PERFORMED), BY PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONAL, WITH INTERPRETATION AND REPORT; FIRST HOUR
Source: CMS coverage guidance
CPT 92524high
BEHAVIORAL AND QUALITATIVE ANALYSIS OF VOICE AND RESONANCE
Source: CMS coverage guidance
CPT 92608high
EVALUATION FOR PRESCRIPTION FOR SPEECH-GENERATING AUGMENTATIVE AND ALTERNATIVE COMMUNICATION DEVICE, FACE-TO-FACE WITH THE PATIENT; EACH ADDITIONAL 30 MINUTES (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)
Source: CMS coverage guidance
CPT 92607high
EVALUATION FOR PRESCRIPTION FOR SPEECH-GENERATING AUGMENTATIVE AND ALTERNATIVE COMMUNICATION DEVICE, FACE-TO-FACE WITH THE PATIENT; FIRST HOUR
Source: CMS coverage guidance
Coding guidelines
Common synonyms
Dysarthria following cerebral infarction
Frequently asked questions
About this content
This page is prepared by HealthAssure's clinical team using official coding standards from ICD-10. AI tools assist with drafting explanations, which are then reviewed and verified by healthcare professionals for accuracy. This content is for informational purposes and does not replace professional medical advice. Meet our team.