Need clarification ICD guidelines states codes from I69 may be assigned on a health care record with codes from I60-I67, if the patient has a current cerebrovascular disease and deficits from an old cerebrovascular disease. My question is it required to code from I60-I67, and if so, how should it be reported. I69 primary and I60-I67 secondary? The patient is 2 years post and has deficits, I was coding history of and I69.090. Thanks for any help.