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-)

Excludes1 inherited from the categories above I69.96

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 I69.96

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

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead I69.96

6 child codes. Green means billable.