Is I69.3 a billable ICD-10-CM code?

No. I69.3 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does I69.3 sit in the tabular list?

Diseases of the circulatory system (I00-I99), in the block Cerebrovascular diseases (I60-I69).

I69.3

I69.3 — Sequelae of cerebral infarction

Non-billable headerICD-10-CM

I69.3 is a non-billable header ICD-10-CM code for sequelae of cerebral infarction. It cannot be billed on its own: choose one of the more specific child codes below.

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Sequelae of stroke NOS

Other codes that can never be billed with I69.3

These codes carry an Excludes1 note pointing at I69.3. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading I69.3 alone.

R41.84Other specified cognitive deficit
F06.7Mild neurocognitive disorder due to known physiological condition
G31.84Mild cognitive impairment of uncertain or unknown etiology
G81Hemiplegia and hemiparesis
G83.1Monoplegia of lower limb
G83.2Monoplegia of upper limb
I69.36Other paralytic syndrome following cerebral infarction
I69.9Sequelae of unspecified cerebrovascular diseases

Risk adjustment

I69.3 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead I69.3

8 child codes. Green means billable.

Related codes at this level

Codes that share I69. If I69.3 is not quite right, the correct code is usually one of these.

Questions about I69.3

Is I69.3 a billable ICD-10-CM code?: No. I69.3 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does I69.3 sit in the tabular list?: Diseases of the circulatory system (I00-I99), in the block Cerebrovascular diseases (I60-I69).