I69.398 ICD-10-CM Code: Other sequelae of cerebral infarction
I69.398 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC coding software
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FY 2026 Apr update / Diseases of the circulatory system (I00-I99) / Cerebrovascular diseases (I60-I69)
I69.398
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceOther sequelae of cerebral infarction
Other lasting effects or complications from a stroke caused by a blood clot in the brain that are not specifically categorized elsewhere.
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
HistoricalHistorical
Not used for CY2026 payment
ACA/HHS
N/A—
Not mapped
ESRD/PACE
N/A—
Not mapped
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
Official- Alteration of sensation following cerebral infarction
- Disturbance of vision following cerebral infarction
- 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
Includes
OfficialNo Includes notes are included in this display for I69.398. 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
OfficialNo Code First sequencing instructions are included in this display for I69.398. Check the code and parent instructions in the Code Book.
Use Additional
Official- code to identify the sequelae
- 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
OfficialNo Code Also instructions are included in this display for I69.398. Check the code and parent instructions in the Code Book.
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 I69.398 an HCC code?
No. I69.398 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
- I69.398
- Description
- Other sequelae of 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
I69.398 is the ICD-10-CM diagnosis code for other sequelae of cerebral infarction. Other lasting effects or complications from a stroke caused by a blood clot in the brain that are not specifically categorized elsewhere. I69.398 sits in the ICD-10-CM chapter for diseases of the circulatory system (i00-i99), within the section covering cerebrovascular diseases (i60-i69).
I69.398 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.
Use this code only when the specific sequela of cerebral infarction is not captured by more specific I69.39x codes.
HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for I69.398 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Use this code only when the specific sequela of cerebral infarction is not captured by more specific I69.39x codes
- •Document the specific symptom or deficit in the medical record to justify use of this catch-all code
Use Additional Code
- code to identify the sequelae