Coding and coverage · ICD-10-CM

I69 › I69.3 › I69.36

I69.365 Other paralytic syndrome following cerebral infarction, bilateral

BillableCMS-HCC V28: HCC 254Chapter 9
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Instructional notes

Chapter 9

Excludes2Not included here: the patient may have both; report both when both are present.
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
  • systemic connective tissue disorders (M30-M36)
  • transient cerebral ischemic attacks and related syndromes (G45.-)

Section I60-I69

Excludes1Not coded here: never report with this code, except when the two conditions are unrelated.
  • traumatic intracranial hemorrhage (S06.-)
Use additional codeAdd a second code for the full picture.
  • code to identify presence of:
  • alcohol abuse and dependence (F10.-)
  • exposure to environmental tobacco smoke (Z77.22)
  • history of tobacco dependence (Z87.891)
  • hypertension (I10-I1A)
  • occupational exposure to environmental tobacco smoke (Z57.31)
  • tobacco dependence (F17.-)
  • tobacco use (Z72.0)

I69

Excludes1Not coded here: never report with this code, except when the two conditions are unrelated.
  • 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

I69.3

Inclusion terms
  • Sequelae of stroke NOS

I69.36

Excludes1Not coded here: never report with this code, except when the two conditions are unrelated.
  • hemiplegia/hemiparesis following cerebral infarction (I69.35-)
  • monoplegia of lower limb following cerebral infarction (I69.34-)
  • monoplegia of upper limb following cerebral infarction (I69.33-)
Use additional codeAdd a second code for the full picture.
  • code to identify type of paralytic syndrome, such as:
  • locked-in state (G83.5)
  • quadriplegia (G82.5-)

Chapter 9: Diseases of the circulatory system · I60-I69 Cerebrovascular diseases (I60-I69)

Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.

Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.