Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting left dominant side
CMS-HCC V28
HCC 254
RAF 0.321
CMS-HCC V24
HCC 104
RAF 0.331
ESRD/PACE
HCC 104
RAF 0.047
Index trail
Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting left dominant side
See Tabular List: I69.142
I69, Sequelae of cerebrovascular disease
I69.1, Sequelae of nontraumatic intracerebral hemorrhage
I69.14, Monoplegia of lower limb following nontraumatic intracerebral hemorrhage
I69.142, Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting left dominant side
Selected code, source checked for the selected effective period
Not listed for this effective period.
Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting left dominant side
Open the shareable code page for I69.142→Not listed for this effective period.
No Excludes 1 note is listed in this source payload.
No Excludes 2 note is listed in this source payload.
Not listed for this effective period.
Not listed for this effective period.
Not listed for this effective period.
Not listed for this code in the selected Tabular payload.
Not listed for this code in the selected Tabular payload.
No laterality instruction is listed for this code in the selected Tabular payload.
Index trail
Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting left dominant side
See Tabular List: I69.142
I69, Sequelae of cerebrovascular disease
I69.1, Sequelae of nontraumatic intracerebral hemorrhage
I69.14, Monoplegia of lower limb following nontraumatic intracerebral hemorrhage
I69.142, Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting left dominant side
Selected code, source checked for the selected effective period
Not listed for this effective period.
Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting left dominant side
Open the shareable code page for I69.142→Not listed for this effective period.
No Excludes 1 note is listed in this source payload.
No Excludes 2 note is listed in this source payload.
Not listed for this effective period.
Not listed for this effective period.
Not listed for this effective period.
Not listed for this code in the selected Tabular payload.
Not listed for this code in the selected Tabular payload.
No laterality instruction is listed for this code in the selected Tabular payload.
HCC Mapping
RAF Value
Model Period
Source
Audit Caution
HCC mapping, RAF, MEAT, source trail, and audit caution stay in view.
V28
HCC 254
Monoplegia, Other Paralytic Syndromes
RAF: 0.321
V24
HCC 104
Monoplegia, Other Paralytic Syndromes
RAF: 0.331
ESRD/PACE
HCC 104
Monoplegia, Other Paralytic Syndromes
RAF: 0.047
HHS-HCC
HCC 151
HHS-HCC 151; HHS-HCC 2026 benefit year
RAF: Varies by metal level
MEAT checklist
Reviewed by the HCC Buddy Coding TeamMonitor, Evaluate, Assess, or Treat must be supported in the provider note.
HCC Buddy guidance, not official ICD-10-CM text.
Audit caution
Reviewed by the HCC Buddy Coding TeamClose codes need documentation support before selection. Do not assume relationships.
HCC Buddy guidance, not official ICD-10-CM text.
Reviewer sign-off
Reviewed by the HCC Buddy Coding TeamMEAT, documentation support, audit cautions, and close-code guidance are reviewed and approved for this effective period.
HCC Buddy enrichment is separate from official source text.
Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting left dominant side
CMS-HCC V28
HCC 254
RAF 0.321
CMS-HCC V24
HCC 104
RAF 0.331
ESRD/PACE
HCC 104
RAF 0.047
Code
I69.142
V28 HCC
HCC 254
RAF
0.321
Add close codes to compare documentation differences.