Is I69.94 a billable ICD-10-CM code?

No. I69.94 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does I69.94 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 I69.94?

I69.94 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 I69.94 (I69.9, I69) and apply to it just the same.

I69.94

I69.94 — Monoplegia of lower limb following unspecified cerebrovascular disease

Non-billable headerICD-10-CMunspecified

I69.94 is a non-billable header ICD-10-CM code for monoplegia of lower limb following unspecified cerebrovascular disease. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 inherited from the categories above I69.94

These are not written on I69.94, but they bind it: a note on a category applies to every code beneath it. Billing I69.94 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 I69.94

These codes carry an Excludes1 note pointing at I69.94. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading I69.94 alone.

G83.1Monoplegia of lower limb
I69.96Other paralytic syndrome following unspecified cerebrovascular disease
Z86.73Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits

Risk adjustment

I69.94 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code history

I69.94 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Code to one of these instead I69.94

5 child codes. Green means billable.

Related codes at this level

Codes that share I69.9. If I69.94 is not quite right, the correct code is usually one of these.

Questions about I69.94

Is I69.94 a billable ICD-10-CM code?: No. I69.94 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does I69.94 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 I69.94?: I69.94 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 I69.94 (I69.9, I69) and apply to it just the same.