I69.391 ICD-10-CM Code: Dysphagia following cerebral infarction
I69.391 is not a CMS-HCC payment code. MEAT criteria · RAF calculator · HCC Buddy coding tools
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FY 2026 Apr update / Diseases of the circulatory system (I00-I99) / Cerebrovascular diseases (I60-I69)
I69.391
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceDysphagia following cerebral infarction
Difficulty swallowing that developed as a result of a previous stroke, which may affect eating and drinking safety.
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 I69.391 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for I69.391 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for I69.391 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for I69.391 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for I69.391 in this effective period.
Use Additional
Official- code to identify the type of dysphagia, if known (R13.11-R13.19)
Code Also
OfficialICD-10-CM does not list Code Also instructions for I69.391 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 I69.391 an HCC code?
No. I69.391 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
- Code
- I69.391
- Description
- Dysphagia 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
I69.391 is the ICD-10-CM diagnosis code for dysphagia following cerebral infarction. Difficulty swallowing that developed as a result of a previous stroke, which may affect eating and drinking safety. I69.391 sits in the ICD-10-CM chapter for diseases of the circulatory system (i00-i99), within the section covering cerebrovascular diseases (i60-i69).
I69.391 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.
Dysphagia is a common post-stroke complication with significant clinical implications for nutrition and aspiration risk.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for I69.391 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Dysphagia is a common post-stroke complication with significant clinical implications for nutrition and aspiration risk
- •Document severity level and whether speech-language pathology evaluation was performed