MCMedicalCodingSoftware
I69.933

I69.933Monoplegia of upper limb following unspecified cerebrovascular disease affecting right non-dominant side

Billable / specific codeICD-10-CMPOA exemptright

I69.933 is a billable, specific ICD-10-CM code for monoplegia of upper limb following unspecified cerebrovascular disease affecting right non-dominant side. It is valid for submission on a claim.

Excludes1 inherited from the categories above I69.933

These are not written on I69.933, but they bind it: a note on a category applies to every code beneath it. Billing I69.933 with anything listed here is a denial.

Written on I69.9 Sequelae of unspecified cerebrovascular diseases

  • sequelae of stroke (I69.3)
  • sequelae of traumatic intracranial injury (S06.-)

Written on I69 Sequelae of cerebrovascular disease

  • personal history of cerebral infarction without residual deficit (Z86.73)
  • personal history of prolonged reversible ischemic neurologic deficit (PRIND) (Z86.73)
  • personal history of reversible ischemic neurologcial deficit (RIND) (Z86.73)
  • sequelae of traumatic intracranial injury (S06.-)

Other codes that can never be billed with I69.933

These codes carry an Excludes1 note pointing at I69.933. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading I69.933 alone.

  • Z86.73Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits

Risk adjustment

I69.933 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

I69.933 is named in 16 Medicare coverage policies 16 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

Code history

I69.933 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share I69.93. If I69.933 is not quite right, the correct code is usually one of these.

Questions about I69.933

Is I69.933 a billable ICD-10-CM code?
Yes. I69.933 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does I69.933 sit in the tabular list?
Diseases of the circulatory system (I00-I99), in the block Cerebrovascular diseases (I60-I69).
What cannot be coded together with I69.933?
I69.933 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above I69.933 (I69.9, I69) and apply to it just the same.
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.