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I66.23

Billable

Occlusion and stenosis of bilateral posterior cerebral arteries

Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)

Is I66.23 an HCC code?

No. I66.23 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

I66.23 is the ICD-10-CM diagnosis code for occlusion and stenosis of bilateral posterior cerebral arteries. A blockage or narrowing of the blood vessels on both sides of the brain that supply the back portion of the brain, which can reduce blood flow and increase stroke risk. I66.23 sits in the ICD-10-CM chapter for diseases of the circulatory system (i00-i99), within the section covering cerebrovascular diseases (i60-i69).

I66.23 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

This code specifies bilateral involvement; do not use if only one side is affected.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for I66.23 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • This code specifies bilateral involvement; do not use if only one side is affected
  • Document whether this is due to thrombosis, embolism, or atherosclerosis for complete clinical picture

Code Hierarchy

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