2026 ICD-10-CM Diagnosis Code I69.398Other sequelae of cerebral infarction

ICD-10-CM CodesI00–I99I60-I69I69

ICD-10-CM I69.398
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

I69.398 is a billable ICD-10-CM diagnosis code for other sequelae of 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. 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
I69.398
Billable Status
Yes — Valid for Submission
Code Describes
Other sequelae of cerebral infarction
Short Description
Other sequelae of cerebral infarction
Same as the full description in the CMS dataset.
Parent Code
Other sequelae of cerebral infarction

Code Classification

ChapterI00–I99Diseases of the circulatory system
SectionI60-I69Cerebrovascular diseases
CategoryI69Sequelae of cerebrovascular disease
This CodeI69.398Other sequelae of cerebral infarction

Present on Admission (POA)Billing

I69.398 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.

  • Alteration of sensation as late effect of stroke
  • Asthenia
  • Asthenia due to disease
  • Behavior disorder as sequela of cerebral infarction
  • Central neuropathic pain
  • Chronic central neuropathic pain
  • Chronic central post-stroke pain
  • Chronic pain due to injury
  • Disorder of optic radiation
  • Fatigue due to and following cerebrovascular accident
  • Fatigue due to and following embolic cerebrovascular accident
  • Fatigue due to and following ischemic cerebrovascular accident
  • Infarction of optic radiation
  • Injury of optic radiation
  • Ischemic stroke with coma
  • Maternal epilepsy due to perinatal stroke
  • Mood disorder due to a general medical condition
  • Mood disorder due to and following cerebrovascular accident
  • Pain following cerebrovascular accident
  • Pain of left hand
  • Pain of left hand due to and following cerebrovascular accident
  • Pain of right hand
  • Pain of right hand due to and following cerebrovascular accident
  • Post-cerebrovascular accident epilepsy
  • Post-infarction hypopituitarism
  • Post-traumatic hypopituitarism
  • Posttraumatic seizure
  • Secondary mood disorder
  • Seizure disorder as sequela of stroke
  • Sensory disorder as a late effect of cerebrovascular disease
  • Sequelae of endocrine disorders
  • Spasticity as sequela of stroke
  • Urinary incontinence due to and following cerebrovascular accident
  • Urinary incontinence due to and following embolic cerebrovascular accident
  • Urinary incontinence due to and following ischemic stroke
  • Vertigo as late effect of stroke
  • Vertigo as sequela of cerebrovascular disease
  • Vertigo as sequela of ischemic cerebrovascular accident
  • Vertigo due to and following hemorrhagic cerebrovascular accident
  • Vertigo due to brain injury
  • Visual field defect due to and following cerebrovascular accident
  • Weakness as a late effect of stroke
  • Weakness of extremities as sequela of stroke

Tabular List NotesGuidance

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

Inclusion Terms

  • Alteration of sensation following cerebral infarction
  • Disturbance of vision following cerebral infarction

Use Additional Code

  • code to identify the sequelae

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.

    • Alteration(of), Altered
      • sensation
        • following
          • cerebrovascular disease
            • cerebral infarction
    • Cerebromalacia
      • sequelae of cerebrovascular disease
    • Disturbance(s)
      • vision, visual
        • following
          • cerebral infarction
    • Sequelae(of)
      • infarction
        • cerebral
          • alteration of sensation
    • Sequelae(of)
      • infarction
        • cerebral
          • disturbance of vision
    • Sequelae(of)
      • infarction
        • cerebral
          • specified effect NEC
    • Sequelae(of)
      • stroke NOS
        • alteration in sensation
    • Sequelae(of)
      • stroke NOS
        • disturbance of vision
    • Sequelae(of)
      • stroke NOS
        • specified effect NEC

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

Clinical InformationClinical

  • Asthenia

    clinical sign or symptom manifested as debility, or lack or loss of strength and energy.
  • Neurocirculatory Asthenia

    a clinical syndrome characterized by palpitation, shortness of breath, labored breathing, subjective complaints of effort and discomfort, all following slight physical exertion. other symptoms may be dizziness, tremulousness, sweating, and insomnia. neurocirculatory asthenia is most typically seen as a form of anxiety disorder.

Patient EducationClinical

Stroke

A stroke happens when there is a loss of blood flow to part of the brain. Your brain cells cannot get the oxygen and nutrients they need from blood, and they start to die within a few minutes. This can cause lasting brain damage, long-term disability, or even death.

The full article covers:

  • What is a stroke?
  • What are the types of stroke?
  • Who is at risk for a stroke?
  • What are the symptoms of a stroke?
  • How are strokes diagnosed?
  • What are the treatments for stroke?
  • Can strokes be prevented?

Read the full article at MedlinePlus

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

Convert I69.398 to ICD-9-CMHistory

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

ICD-9-CM
438.89 Late effect CV dis NEC
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 I69.398Overview

Is I69.398 (Other sequelae of cerebral infarction) a billable code?

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

Is I69.398 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 other sequelae of cerebral infarction on inpatient claims.

What is the ICD-9 equivalent of I69.398?

Under the General Equivalence Mappings, other sequelae of cerebral infarction converts to ICD-9-CM 438.89 (late effect CV dis NEC). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.