I69.851 Hemiplegia and hemiparesis following other cerebrovascular disease affecting right 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 I69.8 Sequelae of other cerebrovascular diseases

Excludes1 (never code together)

• sequelae of traumatic intracranial injury (S06.-)

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)

• 438.21 Late effects of cerebrovascular disease, hemiplegia affecting dominant side (approximate)

Code annotations containing back-references to I69.851

Back-references to I69.85

• 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-)")
• 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: I69.86 Other paralytic syndrome following other cerebrovascular disease ("hemiplegia/hemiparesis following other cerebrovascular disease (I69.85-)")

Back-references to I69.8

• Type 2 Excludes: I67 Other cerebrovascular diseases ("sequelae of the listed conditions (I69.8)")

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

• I69.842 Monoplegia of lower limb following other cerebrovascular disease affecting left dominant side
• I69.843 Monoplegia of lower limb following other cerebrovascular disease affecting right non-dominant side
• I69.844 Monoplegia of lower limb following other cerebrovascular disease affecting left non-dominant side
• I69.849 Monoplegia of lower limb following other cerebrovascular disease affecting unspecified side
• I69.85 Hemiplegia and hemiparesis following other cerebrovascular disease
• I69.851 Hemiplegia and hemiparesis following other cerebrovascular disease affecting right dominant side (this code)
• I69.852 Hemiplegia and hemiparesis following other cerebrovascular disease affecting left dominant side
• I69.853 Hemiplegia and hemiparesis following other cerebrovascular disease affecting right non-dominant side
• I69.854 Hemiplegia and hemiparesis following other cerebrovascular disease affecting left non-dominant side
• I69.859 Hemiplegia and hemiparesis following other cerebrovascular disease affecting unspecified side
• I69.86 Other paralytic syndrome following other cerebrovascular disease