Is I69.04 a billable ICD-10-CM code?

No. I69.04 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does I69.04 sit in the tabular list?

Diseases of the circulatory system (I00-I99), in the block Cerebrovascular diseases (I60-I69).

I69.04

I69.04 — Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage

Non-billable headerICD-10-CM

I69.04 is a non-billable header ICD-10-CM code for monoplegia of lower limb following nontraumatic subarachnoid hemorrhage. It cannot be billed on its own: choose one of the more specific child codes below.

Other codes that can never be billed with I69.04

These codes carry an Excludes1 note pointing at I69.04. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading I69.04 alone.

G83.1Monoplegia of lower limb
I69.06Other paralytic syndrome following nontraumatic subarachnoid hemorrhage

Risk adjustment

I69.04 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead I69.04

5 child codes. Green means billable.

Related codes at this level

Codes that share I69.0. If I69.04 is not quite right, the correct code is usually one of these.

Questions about I69.04

Is I69.04 a billable ICD-10-CM code?: No. I69.04 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does I69.04 sit in the tabular list?: Diseases of the circulatory system (I00-I99), in the block Cerebrovascular diseases (I60-I69).