I69.264

HCC Category Mapping

What This Code Means

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

Coding Tips

• •Confirm that the left side is the patient's non-dominant side before assigning this code
• •Document the specific type of paralytic syndrome (monoplegia, hemiplegia, etc.) in the medical record for clarity

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