I69.023: Fluency disorder following nontraumatic subarachnoid hemorrhage
I69.023, fluency disorder following nontraumatic subarachnoid hemorrhage, is listed as a covered diagnosis in 4 Medicare billing and coding articles that apply to 15 HCPCS Level II codes, including G0451 (Development testing, with interpretation and report, per…), G0153 (Services performed by a qualified speech-language…), G0161 (Services performed by a qualified speech-language…). The articles come from 3 Medicare contractors. A listed diagnosis supports medical necessity only; coverage still depends on the LCD's criteria and on documentation in the medical record.
HCPCS Level II codes with I69.023 as a covered diagnosis
| Code | Description | Medicare coverage | DMEPOS fee 2026 (state range) | Articles listing it |
|---|---|---|---|---|
| G0451 | Development testing, with interpretation and report, per standardized instrument form | Carrier judgment | — | 2 |
| G0153 | Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutes | Carrier judgment | — | 1 |
| G0161 | Services performed by a qualified speech-language pathologist, in the home health setting, in the establishment or delivery of a safe and effective speech-language pathology maintenance program, each 15 minutes | Carrier judgment | — | 1 |
| G0017 | Psychotherapy for crisis furnished in an applicable site of service (any place of service at which the non-facility rate for psychotherapy for crisis services applies, other than the office setting); first 60 minutes | Carrier judgment | — | 1 |
| G0018 | Psychotherapy for crisis furnished in an applicable site of service (any place of service at which the non-facility rate for psychotherapy for crisis services applies, other than the office setting); each additional 30 minutes (list separately in addition to code for primary service) | Carrier judgment | — | 1 |
| G0560 | Safety planning interventions, each 20 minutes personally performed by the billing practitioner, including assisting the patient in the identification of the following personalized elements of a safety plan: recognizing warning signs of an impending suicidal or substance use-related crisis; employing internal coping strategies; utilizing social contacts and social settings as a means of distraction from suicidal thoughts or risky substance use; utilizing family members, significant others, caregivers, and/or friends to help resolve the crisis; contacting mental health or substance use disorder professionals or agencies; and making the environment safe | Carrier judgment | — | 1 |
| G2187 | Patients with clinical indications for imaging of the head: head trauma | Carrier judgment | — | 1 |
| G2188 | Patients with clinical indications for imaging of the head: new or change in headache above 50 years of age | Carrier judgment | — | 1 |
| G2189 | Patients with clinical indications for imaging of the head: abnormal neurologic exam | Carrier judgment | — | 1 |
| G2190 | Patients with clinical indications for imaging of the head: headache radiating to the neck | Carrier judgment | — | 1 |
| G2191 | Patients with clinical indications for imaging of the head: positional headaches | Carrier judgment | — | 1 |
| G2192 | Patients with clinical indications for imaging of the head: temporal headaches in patients over 55 years of age | Carrier judgment | — | 1 |
| G2193 | Patients with clinical indications for imaging of the head: new onset headache in pre-school children or younger (<6 years of age) | Carrier judgment | — | 1 |
| G2194 | Patients with clinical indications for imaging of the head: new onset headache in pediatric patients with disabilities for which headache is a concern as inferred from behavior | Carrier judgment | — | 1 |
| G2195 | Patients with clinical indications for imaging of the head: occipital headache in children | Carrier judgment | — | 1 |
Medicare policy articles listing I69.023
- A52866: Billing and Coding: Speech-Language Pathology (Wellpoint Federal (MAC - Part A, MAC - Part B); 1 Level II codes). LCD with the same title: L33580, L34046
- A53052: Billing and Coding: Home Health Speech-Language Pathology (Palmetto GBA (HHH MAC); 2 Level II codes). LCD with the same title: L34563
- A57130: Billing and Coding: Psychiatric Codes (Novitas Solutions, Inc. (MAC - Part A, MAC - Part B); 4 Level II codes). LCD with the same title: L35101
- A56612: Billing and Coding: CT of the Head (Palmetto GBA (MAC - Part A, MAC - Part B); 9 Level II codes). LCD with the same title: L34417
A diagnosis listed as covered in a billing and coding article supports medical necessity for the article's codes; it does not guarantee payment. Coverage depends on the LCD's criteria, the contractor's jurisdiction and documentation in the medical record.
Other I69 diagnoses (Sequelae of cerebrovascular disease)
- I69.020 — Aphasia following nontraumatic subarachnoid hemorrhage
- I69.021 — Dysphasia following nontraumatic subarachnoid hemorrhage
- I69.022 — Dysarthria following nontraumatic subarachnoid hemorrhage
- I69.028 — Other speech and language deficits following nontraumatic…
- I69.010 — Attention and concentration deficit following nontraumatic…
- I69.011 — Memory deficit following nontraumatic subarachnoid hemorrhage
- I69.012 — Visuospatial deficit and spatial neglect following nontraumatic…
- I69.013 — Psychomotor deficit following nontraumatic subarachnoid hemorrhage
- I69.014 — Frontal lobe and executive function deficit following nontraumatic…
- I69.015 — Cognitive social or emotional deficit following nontraumatic…
- I69.018 — Other symptoms and signs involving cognitive functions following…
- I69.019 — Unspecified symptoms and signs involving cognitive functions…
- I69.031 — Monoplegia of upper limb following nontraumatic subarachnoid…
- I69.032 — Monoplegia of upper limb following nontraumatic subarachnoid…
- I69.033 — Monoplegia of upper limb following nontraumatic subarachnoid…
- I69.034 — Monoplegia of upper limb following nontraumatic subarachnoid…
- I69.041 — Monoplegia of lower limb following nontraumatic subarachnoid…
- I69.042 — Monoplegia of lower limb following nontraumatic subarachnoid…
- I69.043 — Monoplegia of lower limb following nontraumatic subarachnoid…
- I69.044 — Monoplegia of lower limb following nontraumatic subarachnoid…
- I69.051 — Hemiplegia and hemiparesis following nontraumatic subarachnoid…
- I69.052 — Hemiplegia and hemiparesis following nontraumatic subarachnoid…
- I69.053 — Hemiplegia and hemiparesis following nontraumatic subarachnoid…
- I69.054 — Hemiplegia and hemiparesis following nontraumatic subarachnoid…
- I69.061 — Other paralytic syndrome following nontraumatic subarachnoid…
- I69.062 — Other paralytic syndrome following nontraumatic subarachnoid…
- I69.063 — Other paralytic syndrome following nontraumatic subarachnoid…
- I69.064 — Other paralytic syndrome following nontraumatic subarachnoid…
- I69.065 — Other paralytic syndrome following nontraumatic subarachnoid…
- I69.090 — Apraxia following nontraumatic subarachnoid hemorrhage
Frequently asked questions
Does Medicare cover I69.023 (Fluency disorder following nontraumatic subarachnoid…)?
Medicare covers items and services, not diagnoses. 4 Medicare billing and coding articles list I69.023 as a covered diagnosis for 15 HCPCS Level II codes: the diagnosis can support medical necessity for those codes, but payment still depends on the LCD's coverage criteria and the medical record.
Which HCPCS codes can be billed with ICD-10 I69.023?
The Level II codes from the policies most specific to this diagnosis are G0451 (Development testing, with interpretation and report, per…, 2 articles); G0153 (Services performed by a qualified speech-language…, 1 article); G0161 (Services performed by a qualified speech-language…, 1 article); G0017 (Psychotherapy for crisis furnished in an applicable site…, 1 article); G0018 (Psychotherapy for crisis furnished in an applicable site…, 1 article). Code choice depends on the item supplied; check each code's descriptor.
Which Medicare policy articles list I69.023?
A52866 (Billing and Coding: Speech-Language Pathology); A53052 (Billing and Coding: Home Health Speech-Language Pathology); A57130 (Billing and Coding: Psychiatric Codes), and 1 more article.
What is ICD-10-CM code I69.023?
I69.023 is the ICD-10-CM code for fluency disorder following nontraumatic subarachnoid hemorrhage, in category I69 (Sequelae of cerebrovascular disease), chapter 9: Diseases of the circulatory system.
Next steps
- Run a reimbursement report for a device billed under G0451
- Watch G0451 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for G0451
Sources: CMS Medicare Coverage Database billing and coding articles (covered ICD-10 code lists and HCPCS links); ICD-10-CM FY2026; CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule 2026 (non-rural state fees). Not billing or legal advice.
Chapter 9: Diseases of the circulatory system · All diagnoses · HCPCS lookup