I69.321 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · free HCC coding tools

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Code lookupI69.321

Effective periodFY2026 Apr Update (Apr 1-Sep 30)

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

I69.321

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

Dysphasia following cerebral infarction

Difficulty speaking or understanding language that results from a previous stroke.

Overview Risk Models Code Book Documentation Audit Notes Edition comparison

CMS-HCC V28

N/A

—

Not risk-adjusted for this model/period.

Not mapped

CMS-HCC V24

Historical

Not used for standard CY2026 Medicare Advantage payment. Select a historical period to review V24.

Not used for CY2026 payment

ACA/HHS

N/A

—

Not risk-adjusted for this model/period.

Not mapped

ESRD/PACE

N/A

—

Not risk-adjusted for this model/period.

Not mapped

RXHCC

N/A

—

Not risk-adjusted for this model/period.

Not mapped

Code Book Path

Official

I69.3Sequelae of cerebral infarction I69.32Speech and language deficits following cerebral infarction I69.321Dysphasia following cerebral infarction

Inclusion Terms

Official

Sequelae of stroke NOSInherited from I69.3

Excludes 2

Official

certain conditions originating in the perinatal period (P04-P96)Inherited from I00-I99
certain infectious and parasitic diseases (A00-B99)Inherited from I00-I99
complications of pregnancy, childbirth and the puerperium (O00-O9A)Inherited from I00-I99
congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)Inherited from I00-I99
endocrine, nutritional and metabolic diseases (E00-E88)Inherited from I00-I99
injury, poisoning and certain other consequences of external causes (S00-T88)Inherited from I00-I99
neoplasms (C00-D49)Inherited from I00-I99
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)Inherited from I00-I99
systemic connective tissue disorders (M30-M36)Inherited from I00-I99
transient cerebral ischemic attacks and related syndromes (G45.-)Inherited from I00-I99

Related Codes

Official

I69.320Aphasia following cerebral infarction I69.322Dysarthria following cerebral infarction I69.323Fluency disorder following cerebral infarction I69.328Other speech and language deficits following cerebral infarction

Includes

Official

No Includes notes are included in this display for I69.321. Check the code and parent instructions in the Code Book.

Excludes 1

Official

traumatic intracranial hemorrhage (S06.-)Inherited from I60-I69, I69
personal history of cerebral infarction without residual deficit (Z86.73)Inherited from I60-I69, I69
personal history of prolonged reversible ischemic neurologic deficit (PRIND) (Z86.73)Inherited from I60-I69, I69
personal history of reversible ischemic neurologcial deficit (RIND) (Z86.73)Inherited from I60-I69, I69
sequelae of traumatic intracranial injury (S06.-)Inherited from I60-I69, I69

Code First

Official

No Code First sequencing instructions are included in this display for I69.321. Check the code and parent instructions in the Code Book.

Use Additional

Official

code to identify presence of:Inherited from I60-I69
alcohol abuse and dependence (F10.-)Inherited from I60-I69
exposure to environmental tobacco smoke (Z77.22)Inherited from I60-I69
history of tobacco dependence (Z87.891)Inherited from I60-I69
hypertension (I10-I1A)Inherited from I60-I69
occupational exposure to environmental tobacco smoke (Z57.31)Inherited from I60-I69
tobacco dependence (F17.-)Inherited from I60-I69
tobacco use (Z72.0)Inherited from I60-I69

Code Also

Official

No Code Also instructions are included in this display for I69.321. Check the code and parent instructions in the Code Book.

Buddy Documentation Tip

HCC Buddy guidance

Dysphasia indicates partial language impairment, unlike aphasia which is complete loss

Specify whether the dysphasia affects speech production, comprehension, or both

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 I69.321 an HCC code?

No. I69.321 is a billable ICD-10-CM code with no mapping under the current CMS-HCC V28 community payment model, and none under the ESRD, Part D RxHCC, or HHS-HCC models.

Code: I69.321
Description: Dysphasia following cerebral infarction
HCC (V28): No CMS-HCC V28 mapping
RAF reference coefficient: —
Billable: Yes
Payment year: 2026

Coder workflow notes

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What This Code Means

I69.321 is the ICD-10-CM diagnosis code for dysphasia following cerebral infarction. Difficulty speaking or understanding language that results from a previous stroke. I69.321 sits in the ICD-10-CM chapter for diseases of the circulatory system (i00-i99), within the section covering cerebrovascular diseases (i60-i69).

I69.321 is a billable ICD-10-CM code, but no current CMS-HCC V28 community payment mapping is shown, 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.

Dysphasia indicates partial language impairment, unlike aphasia which is complete loss.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for I69.321 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

•Dysphasia indicates partial language impairment, unlike aphasia which is complete loss
•Specify whether the dysphasia affects speech production, comprehension, or both