I69.264 Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting left non-dominant 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

Applies from I69.26 Other paralytic syndrome following other nontraumatic intracranial hemorrhage

Excludes1 (never code together)

• hemiplegia/hemiparesis following other nontraumatic intracranial hemorrhage (I69.25-)
• monoplegia of lower limb following other nontraumatic intracranial hemorrhage (I69.24-)
• monoplegia of upper limb following other nontraumatic intracranial hemorrhage (I69.23-)

Use additional code

• code to identify type of paralytic syndrome, such as:
• locked-in state (G83.5)
• quadriplegia (G82.5-)

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)

• 438.52 Late effects of cerebrovascular disease, other paralytic syndrome affecting nondominant side (approximate)

Code annotations containing back-references to I69.264

Back-references to I69.26

• Type 1 Excludes: F06.7 Mild neurocognitive disorder due to known physiological condition ("cognitive deficits following (sequelae of) cerebral hemorrhage or infarction (I69.01-I69.11-, I69.21-I69.31-, I69.81- I69.91-)")

Back-references to I69.2

• Type 2 Excludes: I62 Other and unspecified nontraumatic intracranial hemorrhage ("sequelae of intracranial hemorrhage (I69.2)")

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

• I69.259 Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting unspecified side
• I69.26 Other paralytic syndrome following other nontraumatic intracranial hemorrhage
• I69.261 Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting right dominant side
• I69.262 Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting left dominant side
• I69.263 Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting right non-dominant side
• I69.264 Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting left non-dominant side (this code)
• I69.265 Other paralytic syndrome following other nontraumatic intracranial hemorrhage, bilateral
• I69.269 Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting unspecified side
• I69.29 Other sequelae of other nontraumatic intracranial hemorrhage
• I69.290 Apraxia following other nontraumatic intracranial hemorrhage
• I69.291 Dysphagia following other nontraumatic intracranial hemorrhage