I69.354 Hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side

Billable ICD-10-CM code, FY2026. Acts as a Complication or Comorbidity (CC) as a secondary diagnosis. 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 I69.3 Sequelae of cerebral infarction

Applicable to

• Sequelae of stroke NOS

Risk adjustment (HCC)

• CMS-HCC V28: HCC 253 — Hemiplegia/Hemiparesis
• CMS-HCC V22: HCC 103 — Hemiplegia/Hemiparesis
• ESRD V24: HCC 103

MS-DRG index

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

Approximate ICD-9-CM (GEMs)

• 438.22 Late effects of cerebrovascular disease, hemiplegia affecting nondominant side (approximate)

Code annotations containing back-references to I69.354

Back-references to I69.35

• Type 1 Excludes: G81 Hemiplegia and hemiparesis ("hemiplegia and hemiparesis due to sequela of cerebrovascular disease (I69.05-, I69.15-, I69.25-, I69.35-, I69.85-, I69.95-)")
• Type 1 Excludes: I69.36 Other paralytic syndrome following cerebral infarction ("hemiplegia/hemiparesis following cerebral infarction (I69.35-)")

Back-references to I69.3

• Type 2 Excludes: I63 Cerebral infarction ("sequelae of cerebral infarction (I69.3-)")
• Type 1 Excludes: I69.9 Sequelae of unspecified cerebrovascular diseases ("sequelae of stroke (I69.3)")

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

• I69.349 Monoplegia of lower limb following cerebral infarction affecting unspecified side
• I69.35 Hemiplegia and hemiparesis following cerebral infarction
• I69.351 Hemiplegia and hemiparesis following cerebral infarction affecting right dominant side
• I69.352 Hemiplegia and hemiparesis following cerebral infarction affecting left dominant side
• I69.353 Hemiplegia and hemiparesis following cerebral infarction affecting right non-dominant side
• I69.354 Hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side (this code)
• I69.359 Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side
• I69.36 Other paralytic syndrome following cerebral infarction
• I69.361 Other paralytic syndrome following cerebral infarction affecting right dominant side
• I69.362 Other paralytic syndrome following cerebral infarction affecting left dominant side
• I69.363 Other paralytic syndrome following cerebral infarction affecting right non-dominant side