I69.320
BillableAphasia following cerebral infarction
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is I69.320 an HCC code?
No. I69.320 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
I69.320 is the ICD-10-CM diagnosis code for aphasia following cerebral infarction. Complete loss of the ability to speak or understand language that persists after a stroke. I69.320 sits in the ICD-10-CM chapter for diseases of the circulatory system (i00-i99), within the section covering cerebrovascular diseases (i60-i69).
I69.320 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.
Aphasia is the complete loss of language ability; distinguish from dysphasia (partial loss) coded as I69.321.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for I69.320 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Aphasia is the complete loss of language ability; distinguish from dysphasia (partial loss) coded as I69.321
- •Document whether the aphasia is expressive, receptive, or global