I69.969 Other paralytic syndrome following unspecified cerebrovascular disease 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

Applies from I69.9 Sequelae of unspecified cerebrovascular diseases

Excludes1 (never code together)

• sequelae of stroke (I69.3)
• sequelae of traumatic intracranial injury (S06.-)

Applies from I69.96 Other paralytic syndrome following unspecified cerebrovascular disease

Excludes1 (never code together)

• hemiplegia/hemiparesis following unspecified cerebrovascular disease (I69.95-)
• monoplegia of lower limb following unspecified cerebrovascular disease (I69.94-)
• monoplegia of upper limb following unspecified cerebrovascular disease (I69.93-)

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)

• 438.50 Late effects of cerebrovascular disease, other paralytic syndrome affecting unspecified side (approximate)

Code annotations containing back-references to I69.969

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

• I69.961 Other paralytic syndrome following unspecified cerebrovascular disease affecting right dominant side
• I69.962 Other paralytic syndrome following unspecified cerebrovascular disease affecting left dominant side
• I69.963 Other paralytic syndrome following unspecified cerebrovascular disease affecting right non-dominant side
• I69.964 Other paralytic syndrome following unspecified cerebrovascular disease affecting left non-dominant side
• I69.965 Other paralytic syndrome following unspecified cerebrovascular disease, bilateral
• I69.969 Other paralytic syndrome following unspecified cerebrovascular disease affecting unspecified side (this code)
• I69.99 Other sequelae of unspecified cerebrovascular disease
• I69.990 Apraxia following unspecified cerebrovascular disease
• I69.991 Dysphagia following unspecified cerebrovascular disease
• I69.992 Facial weakness following unspecified cerebrovascular disease
• I69.993 Ataxia following unspecified cerebrovascular disease