2027 ICD-10-CM Diagnosis Code I69.321Dysphasia following cerebral infarction

ICD-10-CM Codes›I00–I99›I60-I69›I69

ICD-10-CM I69.321
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

I69.321 is a billable ICD-10-CM diagnosis code for dysphasia following cerebral infarction. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 56 through 57. The code is exempt from POA reporting. Coders also document this condition as dysphasia due to and following cerebrovascular accident. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Sequela of cerebral infarction and other cerebrovascular disease.

Code Identity

ICD-10-CM Code
I69.321
Billable Status
Yes — Valid for Submission
Code Describes
Dysphasia following cerebral infarction
Short Description
Dysphasia following cerebral infarction
Same as the full description in the CMS dataset.
Parent Code
I69.32
Speech and language deficits following cerebral infarction

Code Classification

ChapterI00–I99Diseases of the circulatory system
SectionI60-I69Cerebrovascular diseases
CategoryI69Sequelae of cerebrovascular disease
This CodeI69.321Dysphasia following cerebral infarction

Present on Admission (POA)Billing

I69.321 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Cerebrovascular diseases (I60-I69).

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Dysphasia due to and following cerebrovascular accident
  • Dysphasia due to and following embolic cerebrovascular accident
  • Dysphasia due to and following ischemic cerebrovascular accident

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to I69.321: its own notes plus those printed at I69, block I60-I69, and Chapter 9. A note printed at a category, block or chapter applies to every code under it.

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From I69 Sequelae of cerebrovascular disease applies to 240 codes
  • 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.-)
From Block I60-I69 Cerebrovascular diseases applies to 410 codes
  • traumatic intracranial hemorrhage (S06.-)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Chapter 9 (I00-I99) Diseases of the circulatory system applies to 1,433 codes
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
  • systemic connective tissue disorders (M30-M36)
  • transient cerebral ischemic attacks and related syndromes (G45.-)

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From Block I60-I69 Cerebrovascular diseases applies to 410 codes
  • code to identify presence of:
  • alcohol abuse and dependence (F10.-)
  • exposure to environmental tobacco smoke (Z77.22)
  • history of tobacco dependence (Z87.891)
  • hypertension (I10-I1A)
  • occupational exposure to environmental tobacco smoke (Z57.31)
  • tobacco dependence (F17.-)
  • tobacco use (Z72.0)

Notes

General instructions on how these codes are used.

From I69 Sequelae of cerebrovascular disease applies to 240 codes
  • Category I69 is to be used to indicate conditions in I60-I67 as the cause of sequelae. The 'sequelae' include conditions specified as such or as residuals which may occur at any time after the onset of the causal condition

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name I69.321, its category, or a range that includes it.

Excludes1 12

These codes carry an Excludes1 note naming I69.321: they are not reported together with it, unless the two conditions are unrelated.

  • F80.81 Childhood onset fluency disorder
    fluency disorder (stuttering) following cerebrovascular disease (I69. with final characters -23) names I69, which includes this code
  • F98.5 Adult onset fluency disorder
    fluency disorder (stuttering) following cerebrovascular disease (I69. with final characters -23) names I69, which includes this code
  • I69.9 Sequelae of unspecified cerebrovascular diseases
    sequelae of stroke (I69.3) names I69.3, which includes this code
  • R27.0 Ataxia, unspecified
    ataxia following cerebrovascular disease (I69. with final characters -93) names I69, which includes this code
  • R29.810 Facial weakness
    facial weakness following cerebrovascular disease (I69. with final characters -92) names I69, which includes this code
  • R47.01 Aphasia
    aphasia following cerebrovascular disease (I69. with final characters -20) names I69, which includes this code
  • R47.02 Dysphasia
    dysphasia following cerebrovascular disease (I69. with final characters -21) names I69, which includes this code
  • R47.1 Dysarthria and anarthria
    dysarthria following cerebrovascular disease (I69. with final characters -22) names I69, which includes this code
  • R47.8 Other speech disturbances
    dysarthria following cerebrovascular disease (I69. with final characters -28) names I69, which includes this code
  • R47.82 Fluency disorder in conditions classified elsewhere
    fluency disorder (stuttering) following cerebrovascular disease (I69. with final characters -23) names I69, which includes this code
  • R48.2 Apraxia
    apraxia following cerebrovascular disease (I69. with final characters -90) names I69, which includes this code
  • Z86.73 Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits
    sequelae of cerebrovascular disease (I69.-) names I69.-, which includes this code

Excludes2 1

These codes carry an Excludes2 note naming I69.321: its condition is not part of those codes, and both may be reported when the patient has both.

  • I63 Cerebral infarction
    sequelae of cerebral infarction (I69.3-) names I69.3-, which includes this code

Code First 2

These codes say to code first a condition named in the note, and I69.321 is one of the conditions named.

  • F48.2 Pseudobulbar affect
    sequelae of cerebrovascular disease (I69.-) names I69.-, which includes this code
  • R13.1 Dysphagia
    if applicable, dysphagia following cerebrovascular disease (I69. with final characters -91) names I69, which includes this code

Notes 1

These notes mention I69.321.

  • I69 Sequelae of cerebrovascular disease
    Category I69 is to be used to indicate conditions in I60-I67 as the cause of sequelae. The 'sequelae' include conditions specified as such or as residuals which may occur at any time after the onset of the causal condition names I69, which includes this code

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR CIR025
Sequela of cerebral infarction and other cerebrovascular disease
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Speech and Communication Disorders

Many disorders can affect our ability to speak and communicate. They range from saying sounds incorrectly to being completely unable to speak or understand speech. Causes include:

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert I69.321 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
438.12 Late eff CV dis-dysphsia
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About I69.321Overview

What is the ICD-10 code for dysphasia following cerebral infarction?

The ICD-10-CM code for dysphasia following cerebral infarction is I69.321 (sometimes written as I69321). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is I69.321 (Speech and language deficits following cerebral infarction) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report dysphasia following cerebral infarction on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does I69.321 group to?

When dysphasia following cerebral infarction is the principal diagnosis on an inpatient stay, it groups to MS-DRG 57, 56, with relative weights from 1.2835 to 2.2649 depending on complications. Higher weights mean higher Medicare reimbursement.

Is I69.321 exempt from POA reporting?

Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for dysphasia following cerebral infarction on inpatient claims. The code appears in the Cerebrovascular diseases (I60-I69) range of the CMS exempt list.

Can I69.321 be reported with Z86.73?

Not as a rule. The Excludes1 note at I69, which applies to I69.321, lists "personal history of cerebral infarction without residual deficit (Z86.73)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).