2026 ICD-10-CM Diagnosis Code I69.323Fluency disorder following cerebral infarction

ICD-10-CM CodesI00–I99I60-I69I69

ICD-10-CM I69.323
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

I69.323 is a billable ICD-10-CM diagnosis code for fluency disorder following cerebral infarction. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). The code is exempt from POA reporting. Coders also document this condition as fluency disorder as sequela of 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
I69.323
Billable Status
Yes — Valid for Submission
Code Describes
Fluency disorder following cerebral infarction
Short Description
Fluency disorder following cerebral infarction
Same as the full description in the CMS dataset.
Parent Code
Speech and language deficits following cerebral infarction

Code Classification

ChapterI00–I99Diseases of the circulatory system
SectionI60-I69Cerebrovascular diseases
CategoryI69Sequelae of cerebrovascular disease
This CodeI69.323Fluency disorder following cerebral infarction

Present on Admission (POA)Billing

I69.323 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Fluency disorder as sequela of cerebrovascular accident
  • Fluency disorder as sequela of cerebrovascular disease
  • Fluency disorder due to and following embolic cerebrovascular accident
  • Fluency disorder due to and following hemorrhagic cerebrovascular accident

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Stuttering following cerebral infarction

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Disorder(of)
      • fluency
        • following
          • cerebral infarction
    • Sequelae(of)
      • infarction
        • cerebral
          • fluency disorder

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 I69.323 to ICD-9-CMHistory

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

ICD-9-CM
438.14 Late eff CV-fluency dis
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 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About I69.323Overview

Is I69.323 (Speech and language deficits following cerebral infarction) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report fluency disorder following cerebral infarction on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Is I69.323 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 fluency disorder following cerebral infarction on inpatient claims.

What is the ICD-9 equivalent of I69.323?

Under the General Equivalence Mappings, fluency disorder following cerebral infarction converts to ICD-9-CM 438.14 (late eff CV-fluency dis). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.