I69.320 ICD-10-CM Code: Aphasia following cerebral infarction
I69.320 is not a CMS-HCC payment code. MEAT criteria · RAF calculator · HCC coding software
HCC Buddy Code Card
Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.
FY 2026 Apr update / Diseases of the circulatory system (I00-I99) / Cerebrovascular diseases (I60-I69)
I69.320
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceAphasia following cerebral infarction
Complete loss of the ability to speak or understand language that persists after a 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
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for I69.320 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for I69.320 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for I69.320 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for I69.320 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for I69.320 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for I69.320 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for I69.320 in this effective period.
Buddy Documentation Tip
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 I69.320 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.
- Code
- I69.320
- Description
- Aphasia following cerebral infarction
- HCC (V28)
- No CMS-HCC V28 mapping
- RAF
- —
- Billable
- Yes
- Payment year
- 2026
Coder workflow notes
Get the V28 RAF + MEAT cheat sheet
One printable page: confirm a code's V28 HCC status, its RAF weight, and the MEAT your note needs to make it stick. Free, no card.
Free PDF. No card. Unsubscribe anytime.
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 following cerebral infarction, sequela of stroke with documented current aphasia. Chart must establish both the prior stroke and the ongoing aphasic deficit.
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 following cerebral infarction, sequela of stroke with documented current aphasia. Chart must establish both the prior stroke and the ongoing aphasic deficit.
- •Do not confuse with R47.01 (aphasia, not attributed to stroke). The I69.* family specifically captures post-stroke sequelae.
- •I69.320 (aphasia following cerebral infarction) does not map to a V28 payment HCC; it is a stroke-sequela code coded separately from the acute stroke HCC 249. Coders should capture both the prior stroke history and the current aphasic deficit.