I66 ICD-10-CM Code: Occlusion and stenosis of cerebral arteries, not resulting in 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)
I66
Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidanceOcclusion and stenosis of cerebral arteries, not resulting in cerebral infarction
Occlusion and stenosis of cerebral arteries, not resulting in cerebral infarction
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
N/A—
Not mapped
ACA/HHS
N/A—
Not mapped
ESRD/PACE
N/A—
Not mapped
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for I66 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for I66 in this effective period.
Related Child Codes
Includes
Official- embolism of cerebral artery
- narrowing of cerebral artery
- obstruction (complete) (partial) of cerebral artery
- thrombosis of cerebral artery
Excludes 1
Official- Occlusion and stenosis of cerebral artery causing cerebral infarction (I63.3-I63.5)
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for I66 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for I66 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for I66 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.
Coder workflow notes
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What This Code Means
I66 is the ICD-10-CM diagnosis code for occlusion and stenosis of cerebral arteries, not resulting in cerebral infarction. I66 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 I66 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 I66'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 I66 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Includes
- embolism of cerebral artery
- narrowing of cerebral artery
- obstruction (complete) (partial) of cerebral artery
- thrombosis of cerebral artery