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I69.90 ICD-10-CM Code: Unspecified sequelae of unspecified cerebrovascular disease

I69.90 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)

I69.90

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

Unspecified sequelae of unspecified cerebrovascular disease

Lasting effects or complications from a stroke or other brain blood vessel disease when the specific type of disease or sequela is not identified.

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
I69Sequelae of cerebrovascular disease
I69.9Sequelae of unspecified cerebrovascular diseases
I69.90Unspecified sequelae of unspecified cerebrovascular disease

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for I69.90 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for I69.90 in this effective period.

Related Child Codes

Official
I69.91Cognitive deficits following unspecified cerebrovascular disease
I69.92Speech and language deficits following unspecified cerebrovascular disease
I69.93Monoplegia of upper limb following unspecified cerebrovascular disease
I69.94Monoplegia of lower limb following unspecified cerebrovascular disease
I69.95Hemiplegia and hemiparesis following unspecified cerebrovascular disease

Includes

Official

ICD-10-CM does not list Includes notes for I69.90 in this effective period.

Excludes 1

Official
  • sequelae of stroke (I69.3)
  • sequelae of traumatic intracranial injury (S06.-)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for I69.90 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for I69.90 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for I69.90 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
This is a non-specific code; attempt to obtain more detailed documentation to assign a more specific code
Use only when neither the cerebrovascular disease type nor the specific sequela can be determined

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 I69.90 an HCC code?

No. I69.90 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
I69.90
Description
Unspecified sequelae of unspecified cerebrovascular disease
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

I69.90 is the ICD-10-CM diagnosis code for unspecified sequelae of unspecified cerebrovascular disease. Lasting effects or complications from a stroke or other brain blood vessel disease when the specific type of disease or sequela is not identified. I69.90 sits in the ICD-10-CM chapter for diseases of the circulatory system (i00-i99), within the section covering cerebrovascular diseases (i60-i69).

I69.90 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 is a non-specific code; attempt to obtain more detailed documentation to assign a more specific code.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for I69.90 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • This is a non-specific code; attempt to obtain more detailed documentation to assign a more specific code
  • Use only when neither the cerebrovascular disease type nor the specific sequela can be determined

Child Codes

Code Hierarchy

More on I69.90

Related condition guides

Referenced in blog posts

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