I69.964

Billable

Other paralytic syndrome following unspecified cerebrovascular disease affecting left 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 affecting multiple limbs or unusual patterns of movement weakness following a stroke, occurring on the left side in a right-handed person.

Coding Tips

•Document the specific type of paralytic syndrome present (e.g., triplegia, quadriplegia, or other specified pattern)
•Non-dominant side designation requires confirmation of right-handedness in the patient's medical record

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 └I69.964Other paralytic syndrome following unspecified cerebrovascular disease affecting left non-dominant side

└I69.964Other paralytic syndrome following unspecified cerebrovascular disease affecting left non-dominant side