I69.134

I69.134: Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting left non-dominant side

Billable / specific codeICD-10-CMPOA exemptleft

I69.134 is a billable, specific ICD-10-CM code for monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting left non-dominant side. It is valid for submission on a claim.

Check I69.134 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above I69.134

A category’s note binds every code beneath it.

Written on I69: Sequelae of cerebrovascular disease

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.-)

Other codes that can never be billed with I69.134

Their own Excludes1 notes name this code, so the conflict is not listed above.

Z86.73Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits

Risk adjustment

I69.134 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 254 Monoplegia, Other Paralytic Syndromes0.321 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.

Medicare coverage

I69.134 is named in 17 Medicare coverage policies: 17 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52992Billing and Coding: Non-Invasive Cerebrovascular Arterial Studies
A53057Billing and Coding: Home Health Occupational Therapy
A53058Billing and Coding: Home Health Physical Therapy
A53064Billing and Coding: Outpatient Occupational Therapy

Code history

Unchanged in every release from FY2024 to FY2027.