I69.865 Other paralytic syndrome following other cerebrovascular disease, bilateral

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 I69.8 Sequelae of other cerebrovascular diseases

Excludes1 (never code together)

• sequelae of traumatic intracranial injury (S06.-)

Applies from I69.86 Other paralytic syndrome following other cerebrovascular disease

Excludes1 (never code together)

• hemiplegia/hemiparesis following other cerebrovascular disease (I69.85-)
• monoplegia of lower limb following other cerebrovascular disease (I69.84-)
• monoplegia of upper limb following other cerebrovascular disease (I69.83-)

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)

• 438.53 Late effects of cerebrovascular disease, other paralytic syndrome, bilateral (approximate)

Code annotations containing back-references to I69.865

Back-references to I69.86

• 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 I69.8

• 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

• I69.86 Other paralytic syndrome following other cerebrovascular disease
• I69.861 Other paralytic syndrome following other cerebrovascular disease affecting right dominant side
• I69.862 Other paralytic syndrome following other cerebrovascular disease affecting left dominant side
• I69.863 Other paralytic syndrome following other cerebrovascular disease affecting right non-dominant side
• I69.864 Other paralytic syndrome following other cerebrovascular disease affecting left non-dominant side
• I69.865 Other paralytic syndrome following other cerebrovascular disease, bilateral (this code)
• I69.869 Other paralytic syndrome following other cerebrovascular disease affecting unspecified side
• I69.89 Other sequelae of other cerebrovascular disease
• I69.890 Apraxia following other cerebrovascular disease
• I69.891 Dysphagia following other cerebrovascular disease
• I69.892 Facial weakness following other cerebrovascular disease