I69.839: Monoplegia of upper limb following other cerebrovascular disease affecting unspecified side
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.
Check I69.839 with the rest of the claim: free scrubberOther codes that can never be billed with I69.839
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
I69.839 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. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
I69.839 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53057Billing and Coding: Home Health Occupational Therapy
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under I69.83
- I69.831Monoplegia of upper limb following other cerebrovascular disease affecting right dominant side
- I69.832Monoplegia of upper limb following other cerebrovascular disease affecting left dominant side
- I69.833Monoplegia of upper limb following other cerebrovascular disease affecting right non-dominant side
- I69.834Monoplegia of upper limb following other cerebrovascular disease affecting left non-dominant side