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I69.30 ICD-10-CM Code: Unspecified sequelae of cerebral infarction

ICD-10-CM Code View

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

I69.30

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Unspecified sequelae of cerebral infarction

This code describes lasting effects or complications from a previous stroke caused by a blood clot in the brain, when the specific type of remaining problem is not documented. It is used when a patient has recovered from the initial stroke but continues to experience some form of disability or functional impairment.

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
I69Sequelae of cerebrovascular disease
I69.3Sequelae of cerebral infarction
I69.30Unspecified sequelae of cerebral infarction

Inclusion Terms

Official
  • Sequelae of stroke NOS

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for I69.30 in this effective period.

Related Child Codes

Official
I69.31Cognitive deficits following cerebral infarction
I69.32Speech and language deficits following cerebral infarction
I69.33Monoplegia of upper limb following cerebral infarction
I69.34Monoplegia of lower limb following cerebral infarction
I69.35Hemiplegia and hemiparesis following cerebral infarction

Includes

Official

ICD-10-CM does not list Includes notes for I69.30 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for I69.30 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for I69.30 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for I69.30 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for I69.30 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Use this code only when the specific sequela (aftereffect) of the cerebral infarction is not documented; if the particular complication is known (such as aphasia, hemiplegia, or cognitive deficits), use the more specific I69.3x codes instead
This is a sequela code and should be used for conditions arising as a late effect of a previous cerebral infarction; ensure the acute stroke event occurred in a prior episode of care

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Is I69.30 an HCC code?

No. I69.30 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
I69.30
Description
Unspecified sequelae of cerebral infarction
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
Yes
Payment year
2026

Coder workflow notes

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

What This Code Means

I69.30 is the ICD-10-CM diagnosis code for unspecified sequelae of cerebral infarction. This code describes lasting effects or complications from a previous stroke caused by a blood clot in the brain, when the specific type of remaining problem is not documented. It is used when a patient has recovered from the initial stroke but continues to experience some form of disability or functional impairment. I69.30 sits in the ICD-10-CM chapter for diseases of the circulatory system (i00-i99), within the section covering cerebrovascular diseases (i60-i69).

I69.30 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.

Use this code only when the specific sequela (aftereffect) of the cerebral infarction is not documented; if the particular complication is known (such as aphasia, hemiplegia, or cognitive deficits), use the more specific I69.3x codes instead.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for I69.30 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Use this code only when the specific sequela (aftereffect) of the cerebral infarction is not documented; if the particular complication is known (such as aphasia, hemiplegia, or cognitive deficits), use the more specific I69.3x codes instead
  • This is a sequela code and should be used for conditions arising as a late effect of a previous cerebral infarction; ensure the acute stroke event occurred in a prior episode of care

Child Codes

Code Hierarchy

More on I69.30

Related condition guides

Referenced in blog posts

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