ICD-10 Code I69.928 – Other speech and language deficits following unspecified cerebrovascular disease (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code I69.928 – Other speech and language deficits following unspecified cerebrovascular disease
What it is
This code identifies residual speech or language problems that remain after an unspecified cerebrovascular disease. Use it when the record links the deficit to a prior stroke or similar event, but the exact speech disorder is not named.
Clinical signs
Clinical features vary; refer to documentation. You may see impaired word finding, reduced fluency, difficulty understanding language, or other persistent communication deficits after a cerebrovascular event.
When to use this code
Use I69.928 when the provider documents a lingering speech or language deficit as a late effect of unspecified cerebrovascular disease. It is appropriate when the current problem is residual, not an acute neurologic event. Confirm that the deficit is specifically tied to the prior cerebrovascular condition.
Do not use for
Do not use this code for acute stroke, transient symptoms, or speech problems without a documented cerebrovascular cause. Check documentation if the chart identifies aphasia, dysarthria, or another more specific post-stroke deficit.
Coding tip
Assign the residual deficit code only after the acute cerebrovascular condition is no longer being treated and the provider documents a lasting communication deficit.