I69.139 Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting unspecified side

Billable ICD-10-CM code, FY2026. Exempt from present-on-admission (POA) reporting.

Applies from I69 Sequelae of cerebrovascular disease

Excludes1 (never code together)

• 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.-)

Notes

• 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

Risk adjustment (HCC)

• CMS-HCC V28: HCC 254 — Monoplegia, Other Paralytic Syndromes
• CMS-HCC V22: HCC 104 — Monoplegia, Other Paralytic Syndromes
• ESRD V24: HCC 104

MS-DRG index

Defines the logic of DRG(s) 056-057 in MDC 01.

Approximate ICD-9-CM (GEMs)

• 438.30 Late effects of cerebrovascular disease, monoplegia of upper limb affecting unspecified side (approximate)

Code annotations containing back-references to I69.139

Back-references to I69.13

• Type 1 Excludes: G83.2 Monoplegia of upper limb ("monoplegia of upper limbs due to sequela of cerebrovascular disease (I69.03-, I69.13-, I69.23-, I69.33-, I69.83-, I69.93-)")
• Type 1 Excludes: I69.16 Other paralytic syndrome following nontraumatic intracerebral hemorrhage ("monoplegia of upper limb following nontraumatic intracerebral hemorrhage (I69.13-)")

Back-references to I69.1

• Type 2 Excludes: I61 Nontraumatic intracerebral hemorrhage ("sequelae of intracerebral hemorrhage (I69.1-)")

Back-references to I69

• Code First: F48.2 Pseudobulbar affect ("sequelae of cerebrovascular disease (I69.-)")
• Type 1 Excludes: F80.81 Childhood onset fluency disorder ("fluency disorder (stuttering) following cerebrovascular disease (I69. with final characters -23)")
• Type 1 Excludes: F98.5 Adult onset fluency disorder ("fluency disorder (stuttering) following cerebrovascular disease (I69. with final characters -23)")
• Type 1 Excludes: G31.84 Mild cognitive impairment of uncertain or unknown etiology ("cerebrovascular diseases (I60-I69)")
• Code First: G46 Vascular syndromes of brain in cerebrovascular diseases ("underlying cerebrovascular disease (I60-I69)")
• Type 2 Excludes: I10 Essential (primary) hypertension ("essential (primary) hypertension involving vessels of brain (I60-I69)")
• Type 2 Excludes: I15 Secondary hypertension ("secondary hypertension involving vessels of brain (I60-I69)")
• Code First: R13.1 Dysphagia (", if applicable, dysphagia following cerebrovascular disease (I69. with final characters -91)")
• Type 1 Excludes: R27.0 Ataxia, unspecified ("ataxia following cerebrovascular disease (I69. with final characters -93)")
• Type 1 Excludes: R29.810 Facial weakness ("facial weakness following cerebrovascular disease (I69. with final characters -92)")
• Type 1 Excludes: R47.01 Aphasia ("aphasia following cerebrovascular disease (I69. with final characters -20)")
• Type 1 Excludes: R47.02 Dysphasia ("dysphasia following cerebrovascular disease (I69. with final characters -21)")
• Type 1 Excludes: R47.1 Dysarthria and anarthria ("dysarthria following cerebrovascular disease (I69. with final characters -22)")
• Type 1 Excludes: R47.8 Other speech disturbances ("dysarthria following cerebrovascular disease (I69. with final characters -28)")
• Type 1 Excludes: R47.82 Fluency disorder in conditions classified elsewhere ("fluency disorder (stuttering) following cerebrovascular disease (I69. with final characters -23)")
• Type 1 Excludes: R48.2 Apraxia ("apraxia following cerebrovascular disease (I69. with final characters -90)")
• Type 1 Excludes: Z86.73 Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits ("sequelae of cerebrovascular disease (I69.-)")

Nearby codes

• I69.13 Monoplegia of upper limb following nontraumatic intracerebral hemorrhage
• I69.131 Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting right dominant side
• I69.132 Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting left dominant side
• I69.133 Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting right non-dominant side
• I69.134 Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting left non-dominant side
• I69.139 Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting unspecified side (this code)
• I69.14 Monoplegia of lower limb following nontraumatic intracerebral hemorrhage
• I69.141 Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting right dominant side
• I69.142 Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting left dominant side
• I69.143 Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting right non-dominant side
• I69.144 Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting left non-dominant side