Oth speech/lang deficits following cerebral infarction

This code signifies various speech and language impairments, other than aphasia or dysarthria, that occur as a direct consequence of a cerebral infarction (ischemic stroke). These deficits can include difficulties with voice production, fluency, or specific aspects of language processing not categorized as aphasia. The underlying cause is damage to brain tissue due to a lack of blood flow.

Use this code when documentation clearly indicates a speech or language deficit, such as apraxia of speech, verbal apraxia, or other unspecified speech/language issues, that developed after a cerebral infarction. The physician's notes should explicitly link the speech/language deficit to the prior stroke event. This code is appropriate when more specific codes for aphasia or dysarthria do not fully capture the patient's presentation.

• Ensure the documentation specifies the speech/language deficit is other than aphasia (I69.320) or dysarthria (I69.321).
• Always sequence this code after the acute stroke code (I63.-) if the patient is still in the acute phase of care, or as a primary diagnosis for sequelae.
• Confirm the medical record explicitly states the cerebral infarction as the etiology of the speech/language deficit.