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I69.392 ICD-10-CM Code: Facial weakness following cerebral infarction

I69.392 is not a CMS-HCC payment code. MEAT criteria · RAF calculator · HCC coding software

ICD-10-CM Code View

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

I69.392

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

Facial weakness following cerebral infarction

Weakness of the face muscles that occurs as a lasting effect after a stroke caused by a blood clot in the brain.

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
I69.392Facial weakness following cerebral infarction

Inclusion Terms

Official
  • Facial droop following cerebral infarction

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for I69.392 in this effective period.

Related Child Codes

Official
I69.390Apraxia following cerebral infarction
I69.391Dysphagia 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 I69.392 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for I69.392 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for I69.392 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for I69.392 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for I69.392 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
This code represents a late effect of cerebral infarction; ensure the stroke has already occurred and this is a residual condition
Specify which side of the face is affected (right vs. left) if documented, as laterality may be important for clinical management

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 I69.392 an HCC code?

No. I69.392 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
I69.392
Description
Facial weakness 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

I69.392 is the ICD-10-CM diagnosis code for facial weakness following cerebral infarction. Weakness of the face muscles that occurs as a lasting effect after a stroke caused by a blood clot in the brain. I69.392 sits in the ICD-10-CM chapter for diseases of the circulatory system (i00-i99), within the section covering cerebrovascular diseases (i60-i69).

I69.392 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.

This code represents a late effect of cerebral infarction; ensure the stroke has already occurred and this is a residual condition.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for I69.392 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • This code represents a late effect of cerebral infarction; ensure the stroke has already occurred and this is a residual condition
  • Specify which side of the face is affected (right vs. left) if documented, as laterality may be important for clinical management

Child Codes

Code Hierarchy

More on I69.392

Related condition guides

Referenced in blog posts

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