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I69.390 ICD-10-CM Code: Apraxia following cerebral infarction

I69.390 is not a CMS-HCC payment code. MEAT criteria · RAF calculator · free HCC coding tools

ICD-10-CM Code View

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

I69.390

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

Apraxia following cerebral infarction

Loss of the ability to perform purposeful, coordinated movements (such as dressing or eating) despite having normal muscle strength, occurring as a result of 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
I69.39Other sequelae of cerebral infarction
I69.390Apraxia following cerebral infarction

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for I69.390 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for I69.390 in this effective period.

Related Child Codes

Official
I69.391Dysphagia following cerebral infarction
I69.392Facial weakness following cerebral infarction
I69.393Ataxia following cerebral infarction
I69.398Other sequelae of cerebral infarction

Includes

Official

ICD-10-CM does not list Includes notes for I69.390 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for I69.390 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for I69.390 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for I69.390 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for I69.390 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Apraxia is a neurological condition distinct from weakness; patient has strength but cannot execute movements
Document specific types of apraxia (ideomotor, ideational) if identified in clinical assessment

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 I69.390 an HCC code?

No. I69.390 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
I69.390
Description
Apraxia 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

I69.390 is the ICD-10-CM diagnosis code for apraxia following cerebral infarction. Loss of the ability to perform purposeful, coordinated movements (such as dressing or eating) despite having normal muscle strength, occurring as a result of a previous stroke. I69.390 sits in the ICD-10-CM chapter for diseases of the circulatory system (i00-i99), within the section covering cerebrovascular diseases (i60-i69).

I69.390 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.

Apraxia is a neurological condition distinct from weakness; patient has strength but cannot execute movements.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for I69.390 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Apraxia is a neurological condition distinct from weakness; patient has strength but cannot execute movements
  • Document specific types of apraxia (ideomotor, ideational) if identified in clinical assessment

Child Codes

Code Hierarchy

More on I69.390

Related condition guides

Referenced in blog posts

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