I69.949

I69.949: Monoplegia of lower limb following unspecified cerebrovascular disease affecting unspecified side

Billable / specific codeICD-10-CMPOA exemptunspecified

I69.949 is a billable, specific ICD-10-CM code for monoplegia of lower limb following unspecified cerebrovascular disease affecting unspecified side. It is valid for submission on a claim.

Check I69.949 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above I69.949

A category’s note binds every code beneath it.

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 I69.949

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

I69.949 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.

Code history

Unchanged in every release from FY2024 to FY2027.

Excludes1 inherited from the categories above I69.949

Other codes that can never be billed with I69.949

Risk adjustment

Code history

Other codes under I69.94