I69.264: Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting left non-dominant side
I69.264 is a billable, specific ICD-10-CM code for other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting left non-dominant side. It is valid for submission on a claim.
Check I69.264 with the rest of the claim: free scrubberOther codes that can never be billed with I69.264
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
I69.264 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
I69.264 is named in 10 Medicare coverage policies: 10 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under I69.26
- I69.261Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting right dominant side
- 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
- I69.265Other paralytic syndrome following other nontraumatic intracranial hemorrhage, bilateral
- I69.269Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting unspecified side