Dysphagia following other cerebrovascular disease

This code signifies difficulty or inability to swallow that has developed as a direct consequence of a cerebrovascular event other than a stroke (e.g., transient ischemic attack, cerebral aneurysm rupture, or other non-stroke CVA). It indicates a persistent swallowing impairment resulting from neurological damage from such an event.

Apply this code when documentation clearly links dysphagia to a past cerebrovascular disease that is not explicitly coded as a stroke (I60-I63). This is appropriate for patients presenting with new or worsening dysphagia following conditions like subarachnoid hemorrhage or cerebral venous thrombosis. Supporting documentation should specify the type of cerebrovascular disease and the causal relationship to the dysphagia.

• Always sequence the underlying cerebrovascular disease code first, followed by this code.
• Distinguish carefully from dysphagia due to current stroke (I69.391) or unspecified cerebrovascular disease (I69.991).
• Ensure the medical record specifies the type of cerebrovascular disease to justify "other" rather than "unspecified."