MCMedicalCodingSoftware
I69.921

I69.921Dysphasia following unspecified cerebrovascular disease

Billable / specific codeICD-10-CMPOA exempt

I69.921 is a billable, specific ICD-10-CM code for dysphasia following unspecified cerebrovascular disease. It is valid for submission on a claim.

Excludes1 inherited from the categories above I69.921

These are not written on I69.921, but they bind it: a note on a category applies to every code beneath it. Billing I69.921 with anything listed here is a denial.

Written on I69.9 Sequelae of unspecified cerebrovascular diseases

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

Written on I69 Sequelae of cerebrovascular disease

  • personal history of cerebral infarction without residual deficit (Z86.73)
  • personal history of prolonged reversible ischemic neurologic deficit (PRIND) (Z86.73)
  • personal history of reversible ischemic neurologcial deficit (RIND) (Z86.73)
  • sequelae of traumatic intracranial injury (S06.-)

Other codes that can never be billed with I69.921

These codes carry an Excludes1 note pointing at I69.921. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading I69.921 alone.

  • Z86.73Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits

Risk adjustment

I69.921 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.

Medicare coverage

I69.921 is named in 5 Medicare coverage policies 5 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

  • A53052Billing and Coding: Home Health Speech-Language Pathology
  • A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
  • A56868Billing and Coding: Outpatient Speech Language Pathology
  • A57130Billing and Coding: Psychiatric Codes

How I69.921 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to I69.921.

  • Dysphasiafollowingcerebrovascular disease
  • Sequelaediseasecerebrovasculardysphasia

Code history

I69.921 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share I69.92. If I69.921 is not quite right, the correct code is usually one of these.

Questions about I69.921

Is I69.921 a billable ICD-10-CM code?
Yes. I69.921 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does I69.921 sit in the tabular list?
Diseases of the circulatory system (I00-I99), in the block Cerebrovascular diseases (I60-I69).
What cannot be coded together with I69.921?
I69.921 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above I69.921 (I69.9, I69) and apply to it just the same.
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.