I69.962

Billable

Other paralytic syndrome following unspecified cerebrovascular disease affecting left 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

This code describes weakness or loss of muscle function on the left side of the body that resulted from a previous stroke or brain blood vessel problem, where the specific type of cerebrovascular event is not documented. The left side is the dominant side for motor control in this patient.

Coding Tips

•Verify documentation specifies this is a sequela (late effect) of a prior cerebrovascular event, not an acute stroke; the 'I69' category indicates this is a post-CVA condition
•Confirm the left side dominance is clinically documented and that paralysis/weakness specifically affects the left side; if documentation is unclear about which side or type of CVA, query the provider for clarification

Clinical Significance

Other paralytic syndromes following unspecified cerebrovascular disease capture residual motor deficits that do not fit the classic patterns of hemiplegia or monoplegia, such as locked-in syndrome, quadriplegia, or atypical paralytic presentations following cerebrovascular events. These conditions often require complex, multidisciplinary care including neurological monitoring, physical and occupational therapy, and specialized nursing services. Proper coding ensures these high-acuity, high-resource patients are appropriately reflected in risk adjustment calculations.

Documentation Requirements

✓Documentation of the specific type of prior cerebrovascular event (stroke, hemorrhage, or other cerebrovascular disease) that caused the sequela
✓Clear statement establishing a causal relationship between the prior cerebrovascular event and the current neurological deficit
✓Documentation that the condition is a late effect or sequela, not an acute or evolving stroke
✓Description of the specific paralytic pattern (e.g., quadriplegia, locked-in syndrome, or other specified pattern) that distinguishes this from hemiplegia or monoplegia
✓Documentation of the affected side (right or left) AND whether it is the patient's dominant or non-dominant side
✓Current functional status assessment including impact on activities of daily living, mobility, and need for assistive devices or caregiver support
✓Ongoing treatment plan addressing the neurological deficit (physical therapy, occupational therapy, medications, or other interventions)

Commonly Confused Codes

I69.86x — Other paralytic syndrome following other cerebrovascular disease; use when the specific type of cerebrovascular disease is documented I69.95x — Hemiplegia/hemiparesis following unspecified cerebrovascular disease; use when the paralysis follows a classic hemiplegic pattern I69.94x — Monoplegia of lower limb following unspecified cerebrovascular disease; use when only a single limb is affected G82.x — Paraplegia and quadriplegia not related to cerebrovascular disease; use for paralysis from spinal cord injury or other non-cerebrovascular causes G83.9 — Paralytic syndrome, unspecified; use only when the paralysis is not related to a cerebrovascular event

Code Hierarchy

└I69Sequelae of cerebrovascular disease └I69.9Sequelae of unspecified cerebrovascular diseases └I69.96Other paralytic syndrome following unspecified cerebrovascular disease └I69.962Other paralytic syndrome following unspecified cerebrovascular disease affecting left dominant side

└I69.962Other paralytic syndrome following unspecified cerebrovascular disease affecting left dominant side