I63 ICD-10-CM Code: Cerebral infarction
HCC Buddy Code Card
Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.
FY 2026 Apr update / Diseases of the circulatory system (I00-I99) / Cerebrovascular diseases (I60-I69)
I63
Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidanceCerebral infarction
Cerebral infarction
CMS-HCC V28
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
00
RAF 0
Code Trumping
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Code Book Path
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for I63 in this effective period.
Excludes 2
Official- chronic, without residual deficits (sequelae) (Z86.73)
- sequelae of cerebral infarction (I69.3-)
Related Child Codes
Includes
Official- occlusion and stenosis of cerebral and precerebral arteries, resulting in cerebral infarction
Excludes 1
Official- neonatal cerebral infarction (P91.82-)
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for I63 in this effective period.
Use Additional
Official- code, if applicable, to identify status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission to current facility (Z92.82)
Code Also
OfficialICD-10-CM does not list Code Also instructions for I63 in this effective period.
Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.
What This Code Means
I63 is the ICD-10-CM diagnosis code for cerebral infarction. I63 sits in the ICD-10-CM chapter for diseases of the circulatory system (i00-i99), within the section covering cerebrovascular diseases (i60-i69).
Header codes like I63 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at I63's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for I63 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Includes
- occlusion and stenosis of cerebral and precerebral arteries, resulting in cerebral infarction
Excludes 1, Do NOT code together
- neonatal cerebral infarction (P91.82-)
Excludes 2, Not included here, may code separately
Use Additional Code
- code, if applicable, to identify status post administration of tPA (rtPA) in a different facility within the last 24 hours prior to admission to current facility (Z92.82)