Is I69.96 a billable ICD-10-CM code?

No. I69.96 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does I69.96 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 I69.96?

I69.96 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

I69.96

I69.96 — Other paralytic syndrome following unspecified cerebrovascular disease

Non-billable headerICD-10-CM

I69.96 is a non-billable header ICD-10-CM code for other paralytic syndrome following unspecified cerebrovascular disease. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

hemiplegia/hemiparesis following unspecified cerebrovascular disease (I69.95-)
monoplegia of lower limb following unspecified cerebrovascular disease (I69.94-)
monoplegia of upper limb following unspecified cerebrovascular disease (I69.93-)

Use additional code

Add a secondary code to capture the detail described below.

code to identify type of paralytic syndrome, such as:
locked-in state (G83.5)
quadriplegia (G82.5-)

Risk adjustment

I69.96 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 to one of these instead I69.96

6 child codes. Green means billable.

Related codes at this level

Codes that share I69.9. If I69.96 is not quite right, the correct code is usually one of these.

Questions about I69.96

Is I69.96 a billable ICD-10-CM code?: No. I69.96 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does I69.96 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 I69.96?: I69.96 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.