I69.853
I69.853 — Hemiplegia and hemiparesis following other cerebrovascular disease affecting right non-dominant side
Billable / specific codeICD-10-CMPOA exemptright
I69.853 is a billable, specific ICD-10-CM code for hemiplegia and hemiparesis following other cerebrovascular disease affecting right non-dominant side. It is valid for submission on a claim.
Risk adjustment
I69.853 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 253 Hemiplegia/Hemiparesis0.387 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
I69.853 is named in 18 Medicare coverage policies — 18 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- 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
Related codes at this level
Codes that share I69.85. If I69.853 is not quite right, the correct code is usually one of these.
- I69.851Hemiplegia and hemiparesis following other cerebrovascular disease affecting right dominant side
- I69.852Hemiplegia and hemiparesis following other cerebrovascular disease affecting left dominant side
- I69.854Hemiplegia and hemiparesis following other cerebrovascular disease affecting left non-dominant side
- I69.859Hemiplegia and hemiparesis following other cerebrovascular disease affecting unspecified side
Questions about I69.853
- Is I69.853 a billable ICD-10-CM code?
- Yes. I69.853 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does I69.853 sit in the tabular list?
- Diseases of the circulatory system (I00-I99), in the block Cerebrovascular diseases (I60-I69).