I69.859
I69.859: Hemiplegia and hemiparesis following other cerebrovascular disease affecting unspecified side
Billable / specific codeICD-10-CMPOA exemptunspecified
I69.859 is a billable, specific ICD-10-CM code for hemiplegia and hemiparesis following other cerebrovascular disease affecting unspecified side. It is valid for submission on a claim.
Check I69.859 with the rest of the claim: free scrubberOther codes that can never be billed with I69.859
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
I69.859 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. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under I69.85
- I69.851Hemiplegia and hemiparesis following other cerebrovascular disease affecting right dominant side
- I69.852Hemiplegia and hemiparesis following other cerebrovascular disease affecting left dominant side
- I69.853Hemiplegia and hemiparesis following other cerebrovascular disease affecting right non-dominant side
- I69.854Hemiplegia and hemiparesis following other cerebrovascular disease affecting left non-dominant side