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I69.318 ICD-10-CM Code: Other symptoms and signs involving cognitive functions following 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)

I69.318

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

Other symptoms and signs involving cognitive functions following cerebral infarction

Other cognitive problems or symptoms not specifically listed that result from a previous stroke.

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
I69.3Sequelae of cerebral infarction
I69.31Cognitive deficits following cerebral infarction
I69.318Other symptoms and signs involving cognitive functions following cerebral infarction

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for I69.318 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for I69.318 in this effective period.

Related Child Codes

Official
I69.310Attention and concentration deficit following cerebral infarction
I69.311Memory deficit following cerebral infarction
I69.312Visuospatial deficit and spatial neglect following cerebral infarction
I69.313Psychomotor deficit following cerebral infarction
I69.314Frontal lobe and executive function deficit following cerebral infarction

Includes

Official

ICD-10-CM does not list Includes notes for I69.318 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for I69.318 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for I69.318 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for I69.318 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for I69.318 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Use this code only when the cognitive deficit does not fit into the more specific categories (I69.311-I69.315)
Include documentation describing the specific cognitive symptom or sign being coded

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.

Is I69.318 an HCC code?

No. I69.318 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
I69.318
Description
Other symptoms and signs involving cognitive functions following 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

I69.318 is the ICD-10-CM diagnosis code for other symptoms and signs involving cognitive functions following cerebral infarction. Other cognitive problems or symptoms not specifically listed that result from a previous stroke. I69.318 sits in the ICD-10-CM chapter for diseases of the circulatory system (i00-i99), within the section covering cerebrovascular diseases (i60-i69).

I69.318 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 cognitive deficit does not fit into the more specific categories (I69.311-I69.315).

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for I69.318 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 cognitive deficit does not fit into the more specific categories (I69.311-I69.315)
  • Include documentation describing the specific cognitive symptom or sign being coded

Child Codes

Code Hierarchy

More on I69.318

Related condition guides

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