I69.263

Billable

Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting right non-dominant side

HCC Category Mapping

V28HCC 254 — Monoplegia, Other Paralytic Syndromes

0.000

V24HCC 104 — Monoplegia, Other Paralytic Syndromes

0.304

ESRDHCC 104 — Monoplegia, Other Paralytic Syndromes

0.000

What This Code Means

Weakness or paralysis on the right side of the body that developed after bleeding in the brain (not caused by injury), affecting the non-dominant side.

Coding Tips

•This code is used when the right side is the non-dominant side; verify patient's handedness to confirm correct laterality
•This is a sequela code - only use after the acute hemorrhage has resolved and residual paralysis remains

Clinical Significance

Other paralytic syndrome as a sequela of a nontraumatic intracranial hemorrhage other than intracerebral (such as subarachnoid or subdural hemorrhage) represents a chronic neurological deficit that significantly impacts the patient's functional status and ongoing care needs. This category captures paralytic syndromes that do not fit the specific monoplegia or hemiplegia patterns, such as locked-in syndrome, quadriplegia following stroke, or other complex motor deficits. These conditions represent significant risk adjustment value as they indicate severe neurological compromise with substantial ongoing care requirements.

Documentation Requirements

✓Documentation of prior other nontraumatic intracranial hemorrhage as the causative event with clear causal linkage to the current deficit
✓Confirmation that this is a sequela (late effect), not an acute or current cerebrovascular event
✓Specific description of the paralytic syndrome that does not fit monoplegia or hemiplegia categories
✓Current functional status and extent of paralytic involvement
✓Documentation of which side is affected (right or left)
✓Documentation of patient's hand dominance to determine dominant vs non-dominant classification
✓Current treatment plan including rehabilitation services, medications, and adaptive equipment
✓Assessment that the condition is being actively monitored or managed during the encounter

Commonly Confused Codes

I69.1/I69.3/I69.8xx codes — sequelae of different cerebrovascular event types; must match the documented causative event G83.9 (Paralytic syndrome, unspecified) — use when not a sequela of cerebrovascular disease I69.x5x (Hemiplegia/hemiparesis) — use when paralysis specifically fits the hemiplegia pattern affecting one side Dominant vs non-dominant side codes — verify patient handedness; right-handed patients have right dominant side, left-handed have right non-dominant

Code Hierarchy

└I69Sequelae of cerebrovascular disease └I69.2Sequelae of other nontraumatic intracranial hemorrhage └I69.26Other paralytic syndrome following other nontraumatic intracranial hemorrhage └I69.263Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting right non-dominant side

└I69.263Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting right non-dominant side