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I69 ICD-10-CM Code: Sequelae of cerebrovascular disease

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

I69

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

Sequelae of cerebrovascular disease

Sequelae of cerebrovascular disease

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

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Code Book Path

Official
I6Cerebrovascular diseases (I60-I69)
I69Sequelae of cerebrovascular disease

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for I69 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for I69 in this effective period.

Related Child Codes

Official
I69.0Sequelae of nontraumatic subarachnoid hemorrhage
I69.1Sequelae of nontraumatic intracerebral hemorrhage
I69.2Sequelae of other nontraumatic intracranial hemorrhage
I69.3Sequelae of cerebral infarction
I69.8Sequelae of other cerebrovascular diseases

Includes

Official

ICD-10-CM does not list Includes notes for I69 in this effective period.

Excludes 1

Official
  • personal history of cerebral infarction without residual deficit (Z86.73)
  • personal history of prolonged reversible ischemic neurologic deficit (PRIND) (Z86.73)
  • personal history of reversible ischemic neurologcial deficit (RIND) (Z86.73)
  • sequelae of traumatic intracranial injury (S06.-)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for I69 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for I69 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for I69 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

I69 is the ICD-10-CM diagnosis code for sequelae of cerebrovascular disease. I69 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 I69 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 I69'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 I69 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • personal history of cerebral infarction without residual deficit (Z86.73)
  • personal history of prolonged reversible ischemic neurologic deficit (PRIND) (Z86.73)
  • personal history of reversible ischemic neurologcial deficit (RIND) (Z86.73)
  • sequelae of traumatic intracranial injury (S06.-)

Child Codes

Code Hierarchy

I69Sequelae of cerebrovascular disease
I69Sequelae of cerebrovascular disease

More on I69

Related condition guides

Referenced in blog posts

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