Apraxia following cerebral infarction

This code signifies the presence of apraxia, a neurological disorder characterized by the inability to perform learned movements despite having the desire and physical capacity to do so, specifically as a sequela of a cerebral infarction (ischemic stroke). It indicates a long-term neurological deficit resulting from a past stroke event.

Use this code when documentation clearly states that a patient has apraxia that is a direct consequence of a previous cerebral infarction. This code is appropriate for chronic or residual apraxia, not for acute apraxia immediately following a stroke. Supporting documentation should include a history of cerebral infarction and a current diagnosis of apraxia linked to that event.

• Always sequence this code after the appropriate code identifying the specific type of cerebral infarction (e.g., I63.x) if the patient is still being treated for the acute effects of the stroke, or as a primary diagnosis if the apraxia is the focus of the encounter.
• Distinguish apraxia from aphasia (I69.32-) or dysarthria (I69.32-) as these are distinct neurological deficits following stroke.
• Ensure documentation specifies "following cerebral infarction" to justify the use of an I69.3x code, rather than a general apraxia code if the etiology is unknown or different.