FY2027 ICD-10-CM reference
I69.962: Other paralytic syndrome following unspecified cerebrovascular disease affecting left dominant side
By the HCC Buddy Coding Team
The official ICD-10-CM descriptor is Other paralytic syndrome following unspecified cerebrovascular disease affecting left dominant side. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.
Billable code. Verified against the official FY2027 order file.
FY2027 Tabular instructions
Instructions below include applicable chapter, section and parent-code notes. Each note identifies where it appears in the official source.
Excludes2
certain conditions originating in the perinatal period (P04-P96)
Source: I00-I99 (chapter, inherited).
Excludes2
certain infectious and parasitic diseases (A00-B99)
Source: I00-I99 (chapter, inherited).
Excludes2
complications of pregnancy, childbirth and the puerperium (O00-O9A)
Source: I00-I99 (chapter, inherited).
Excludes2
congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
Source: I00-I99 (chapter, inherited).
Excludes2
endocrine, nutritional and metabolic diseases (E00-E88)
Source: I00-I99 (chapter, inherited).
Excludes2
injury, poisoning and certain other consequences of external causes (S00-T88)
Source: I00-I99 (chapter, inherited).
Excludes2
neoplasms (C00-D49)
Source: I00-I99 (chapter, inherited).
Excludes2
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Source: I00-I99 (chapter, inherited).
Excludes2
systemic connective tissue disorders (M30-M36)
Source: I00-I99 (chapter, inherited).
Excludes2
transient cerebral ischemic attacks and related syndromes (G45.-)
Source: I00-I99 (chapter, inherited).
Instructional note
code to identify presence of:
Source: I60-I69 (section, inherited).
Instructional note
alcohol abuse and dependence (F10.-)
Source: I60-I69 (section, inherited).
Instructional note
exposure to environmental tobacco smoke (Z77.22)
Source: I60-I69 (section, inherited).
Instructional note
history of tobacco dependence (Z87.891)
Source: I60-I69 (section, inherited).
Instructional note
hypertension (I10-I1A)
Source: I60-I69 (section, inherited).
Instructional note
occupational exposure to environmental tobacco smoke (Z57.31)
Source: I60-I69 (section, inherited).
Instructional note
tobacco dependence (F17.-)
Source: I60-I69 (section, inherited).
Instructional note
tobacco use (Z72.0)
Source: I60-I69 (section, inherited).
Excludes1
traumatic intracranial hemorrhage (S06.-)
Source: I60-I69 (section, inherited).
Instructional note
Category I69 is to be used to indicate conditions in I60-I67 as the cause of sequelae. The 'sequelae' include conditions specified as such or as residuals which may occur at any time after the onset of the causal condition
Source: I69 (category, inherited).
Excludes1
personal history of cerebral infarction without residual deficit (Z86.73)
Source: I69 (category, inherited).
Excludes1
personal history of prolonged reversible ischemic neurologic deficit (PRIND) (Z86.73)
Source: I69 (category, inherited).
Excludes1
personal history of reversible ischemic neurologcial deficit (RIND) (Z86.73)
Source: I69 (category, inherited).
Excludes1
sequelae of traumatic intracranial injury (S06.-)
Source: I69 (category, inherited).
Excludes1
sequelae of stroke (I69.3)
Source: I69.9 (self, inherited).
Excludes1
sequelae of traumatic intracranial injury (S06.-)
Source: I69.9 (self, inherited).
Instructional note
code to identify type of paralytic syndrome, such as:
Source: I69.96 (self, inherited).
Instructional note
locked-in state (G83.5)
Source: I69.96 (self, inherited).
Instructional note
quadriplegia (G82.5-)
Source: I69.96 (self, inherited).
Excludes1
hemiplegia/hemiparesis following unspecified cerebrovascular disease (I69.95-)
Source: I69.96 (self, inherited).
Excludes1
monoplegia of lower limb following unspecified cerebrovascular disease (I69.94-)
Source: I69.96 (self, inherited).
Excludes1
monoplegia of upper limb following unspecified cerebrovascular disease (I69.93-)
Source: I69.96 (self, inherited).
Compare the FY2027 additions, removals and billable-status changes
What does I69.962 mean in FY2027?
The official ICD-10-CM descriptor is Other paralytic syndrome following unspecified cerebrovascular disease affecting left dominant side. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.
Is I69.962 billable in FY2027?
The FY2027 order file marks I69.962 as billable. Check the complete Tabular instructions and documentation before assigning it.
Does I69.962 map to an HCC?
In the CMS 2027 Initial ICD-10-CM Mappings (payment year 2027, 2026 dates of service), I69.962 maps to CMS-HCC V28 HCC 254 (Monoplegia, Other Paralytic Syndromes). For 2027 dates of service, CMS has not yet published the payment year 2028 mappings. Under the PY2026 CMS mapping; CMS 2027 initial file unchanged: ESRD HCC 104; no RxHCC category. Coefficients for these models are pending verification for payment year 2027. HHS-HCC: HCC 151 under the HHS-HCC 2026 benefit year mapping (no RAF; HHS-HCC weights vary by metal level). CMS-HCC V24: not used for payment year 2027 Medicare Advantage payment (CMS CY 2027 Rate Announcement). The PACE mapping is still pending verification for FY2027.
Source: CMS FY2027 ICD-10-CM order file. Payment model: CMS CY 2027 Rate Announcement. Read the FY2027 Official Guidelines.
Review the FY2026 April edition