I69.261 — Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting right dominant side
I69.261 is a billable, specific ICD-10-CM code for other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting right dominant side. It is valid for submission on a claim.
Excludes1 inherited from the categories above I69.261
These are not written on I69.261, but they bind it: a note on a category applies to every code beneath it. Billing I69.261 with anything listed here is a denial.
Written on I69.26 — Other paralytic syndrome following other nontraumatic intracranial hemorrhage
Written on I69 — Sequelae of cerebrovascular disease
Other codes that can never be billed with I69.261
These codes carry an Excludes1 note pointing at I69.261. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading I69.261 alone.
- Z86.73Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits
Risk adjustment
I69.261 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.
Medicare coverage
I69.261 is named in 9 Medicare coverage policies — 9 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A54095Billing and Coding: Nerve Conduction Studies and Electromyography
Code history
I69.261 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share I69.26. If I69.261 is not quite right, the correct code is usually one of these.
- I69.262Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting left dominant side
- I69.263Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting right non-dominant side
- I69.264Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting left non-dominant side
- I69.265Other paralytic syndrome following other nontraumatic intracranial hemorrhage, bilateral
- I69.269Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting unspecified side
Questions about I69.261
- Is I69.261 a billable ICD-10-CM code?
- Yes. I69.261 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does I69.261 sit in the tabular list?
- Diseases of the circulatory system (I00-I99), in the block Cerebrovascular diseases (I60-I69).
- What cannot be coded together with I69.261?
- I69.261 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above I69.261 (I69.26, I69) and apply to it just the same.