Name of the Condition

• Memory Deficit Following Nontraumatic Subarachnoid Hemorrhage
• ICD-10 Code: I69.011

Summary

Memory deficit following nontraumatic subarachnoid hemorrhage occurs when patients experience memory impairment after bleeding that happens in the area between the brain and the surrounding membrane, not caused by trauma. This can affect cognitive functions and daily living activities.

Causes

The condition arises from the aftereffects of a nontraumatic subarachnoid hemorrhage (SAH), which is a sudden bleed into the subarachnoid space. This bleeding can impact brain functions and lead to cognitive deficits, including memory loss.

Risk Factors

• History of high blood pressure.
• Smoking and excessive alcohol consumption.
• Certain genetic factors.
• Use of blood thinners.
• Conditions increasing the risk of aneurysms, such as connective tissue disorders.

Symptoms

• Short-term or long-term memory loss.
• Difficulty concentrating or focusing.
• Problems with problem-solving or planning.
• Forgetfulness that disrupts daily life.

Diagnosis

• Neurological examination assessing cognitive function.
• Imaging tests like MRI or CT scans to identify brain changes or damages.
• Neuropsychological tests to evaluate memory and other cognitive functions.

Treatment Options

• Cognitive rehabilitation therapy: helps improve memory and cognitive skills.
• Medications: used to manage symptoms or related conditions (e.g., hypertension).
• Psychological support: counseling or support groups to help cope with emotional aspects of memory loss.

Prognosis and Follow-Up

The prognosis varies; some patients experience significant memory recovery over time, while others may have persistent deficits. Regular follow-up with neurologists and cognitive therapists is crucial to monitor progress and adjust treatment plans.

Complications

• Persistent cognitive and memory impairments.
• Depression or anxiety related to the condition.
• Challenges in performing daily activities independently.

Lifestyle & Prevention

• Control blood pressure and cholesterol through diet and medication.
• Avoid smoking and limit alcohol consumption.
• Engaging in mental exercises and maintaining an active social life can help support cognitive health.

When to Seek Professional Help

• Sudden worsening of memory problems.
• New or severe headaches accompanying cognitive changes.
• Difficulty performing routine tasks previously managed with ease.

Additional Resources

• American Stroke Association: stroke.org

• Brain Injury Association of America: biausa.org

  Tips for Medical Coders

• Ensure the bleed is classified as nontraumatic before applying I69.011 for accurate diagnosis coding.
• Avoid confusion with traumatic subarachnoid hemorrhage conditions which have different codes.
• Remember that coding should reflect both the primary condition and the resulting memory deficit.