Question 1

What is ICD-10 code I69.191?

Accepted Answer

I69.191 is the ICD-10-CM diagnosis code for dysphagia following nontraumatic intracerebral hemorrhage. Difficulty swallowing that develops as a lasting effect after a bleeding stroke in the brain (not caused by trauma). I69.191 sits in the ICD-10-CM chapter for diseases of the circulatory system (i00-i99), within the section covering cerebrovascular diseases (i60-i69).

I69.191 is a billable ICD-10-CM code, but the current payload does not show a mapping under the CMS-HCC V28 or V24 community payment models, and none under the ESRD, Part D RxHCC, or HHS-HCC models. Do not assign risk adjustment value from this page when no source-backed mapping is shown; verify the applicable model and payment year.

This code represents a sequela (late effect) of intracerebral hemorrhage, so the hemorrhage event should have occurred previously.

Question 2

Is I69.191 an HCC code?

Accepted Answer

I69.191 has no payable CMS-HCC V28 mapping in the final FY2026 CMS file.

Question 3

Is I69.191 billable?

Accepted Answer

Yes. I69.191 is a billable ICD-10-CM code that can be reported on professional and institutional claims as a primary or secondary diagnosis when the provider documentation supports the specific condition described. Billable codes in ICD-10-CM are coded to the highest level of specificity available for the documented diagnosis. I69.191 is current for fiscal year 2026 and remains in the active CMS ICD-10-CM code set published by the National Center for Health Statistics.

Question 4

Which HCC does I69.191 map to under V28?

Accepted Answer

I69.191 has no payable CMS-HCC V28 mapping in the final FY2026 CMS file.

Question 5

What RAF reference is published for I69.191?

Accepted Answer

I69.191 has no V28 reference coefficient because the final FY2026 source verifies no payable V28 mapping.

Question 6

What is the V28 vs V24 difference for I69.191?

Accepted Answer

I69.191 has verified no payable V28 mapping in the final FY2026 source. Select a historical effective period before making any V24 comparison.

Question 7

What documentation supports I69.191?

Accepted Answer

This code represents a sequela (late effect) of intracerebral hemorrhage, so the hemorrhage event should have occurred previously Dysphagia following ICH may require speech-language pathology evaluation and swallowing studies for documentation I69.191 is not a CMS-HCC V28 payment code in the verified current source, so MEAT is not the payment hook. Documentation still has to support the diagnosis if you report it.

Question 8

Can I69.191 be a primary diagnosis?

Accepted Answer

Yes. I69.191 carries no code-first instruction in the FY2026 tabular, so it can be the first-listed diagnosis when it is the condition chiefly responsible for the encounter and the note supports it, and it can also be reported as a secondary diagnosis. For risk adjustment the order does not matter; the V28 category is the same either way.

Question 9

Which codes cannot be reported with I69.191?

Accepted Answer

The Excludes1 note that applies to I69.191 lists traumatic intracranial hemorrhage (S06.-); 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); and 1 more (see the notes on this page). An Excludes1 condition is not reported together with I69.191; report one or the other, unless the two conditions are unrelated, which the ICD-10-CM Official Guidelines (Section I.A.12.a) allow. The Excludes2 note lists certain conditions originating in the perinatal period (P04-P96); certain infectious and parasitic diseases (A00-B99); complications of pregnancy, childbirth and the puerperium (O00-O9A); congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99); and 6 more (see the notes on this page); those are separate conditions that may be reported together with I69.191 when both are documented.

HCC Buddy Code Card

I69.191

Is I69.191 an HCC code?

Get the V28 mapping + MEAT cheat sheet

What This Code Means

Coding Tips

Use Additional Code

Child Codes

Code Hierarchy

Also searched as

More on I69.191

Code family

Related condition guides

Work I69.191 in HCC Buddy

I69.191 ICD-10-CM Code: Dysphagia following nontraumatic intracerebral hemorrhage

HCC Buddy Code Card

I69.191

Is I69.191 an HCC code?

Get the V28 mapping + MEAT cheat sheet

What This Code Means

Coding Tips

Use Additional Code

Child Codes

Code Hierarchy

Also searched as

More on I69.191

Code family

Related condition guides

Work I69.191 in HCC Buddy