MCMCB Pro
I69.839

I69.839Monoplegia of upper limb following other cerebrovascular disease affecting unspecified side

Billable / specific codeICD-10-CMPOA exemptunspecified

I69.839 is a billable, specific ICD-10-CM code for monoplegia of upper limb following other cerebrovascular disease affecting unspecified side. It is valid for submission on a claim.

Risk adjustment

I69.839 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

I69.839 is named in 1 Medicare coverage policy 1 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

Related codes at this level

Codes that share I69.83. If I69.839 is not quite right, the correct code is usually one of these.

Questions about I69.839

Is I69.839 a billable ICD-10-CM code?
Yes. I69.839 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does I69.839 sit in the tabular list?
Diseases of the circulatory system (I00-I99), in the block Cerebrovascular diseases (I60-I69).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.