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I66 ICD-10-CM Code: Occlusion and stenosis of cerebral arteries, not resulting in cerebral infarction

ICD-10-CM Code View

HCC Buddy Code Card

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FY 2026 Apr update / Diseases of the circulatory system (I00-I99) / Cerebrovascular diseases (I60-I69)

I66

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Occlusion 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

Official
I6Cerebrovascular diseases (I60-I69)
I66Occlusion and stenosis of cerebral arteries, not resulting in cerebral infarction

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for I66 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for I66 in this effective period.

Related Child Codes

Official
I66.0Occlusion and stenosis of middle cerebral artery
I66.1Occlusion and stenosis of anterior cerebral artery
I66.2Occlusion and stenosis of posterior cerebral artery
I66.3Occlusion and stenosis of cerebellar arteries
I66.8Occlusion and stenosis of other cerebral arteries

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

Official

ICD-10-CM does not list Code First sequencing instructions for I66 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for I66 in this effective period.

Code Also

Official

ICD-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

Excludes 1, Do NOT code together

  • Occlusion and stenosis of cerebral artery causing cerebral infarction (I63.3-I63.5)

Child Codes

Code Hierarchy

I66Occlusion and stenosis of cerebral arteries, not resulting in cerebral infarction
I66Occlusion and stenosis of cerebral arteries, not resulting in cerebral infarction

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