ICDcodes.org
FY2027

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

BillableUnspecified

Is I69.964 billable?

Yes, but I69.964 is an unspecified code. I69.964 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, I69.964 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting I69.964 — the more specific alternatives are listed below.

I69.964 at a glance

CodeI69.964
DescriptionOther paralytic syndrome following unspecified cerebrovascular disease affecting left non-dominant side
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Which MS-DRGs does I69.964 group to?

I69.964 sits in MDC 01 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 056Degenerative Nervous System Disorders with MCCmedical
  • 057Degenerative Nervous System Disorders without MCCmedical

How is I69.964 listed in the Alphabetic Index?

The Alphabetic Index lists these routes under I69.96, the nearest indexed parent of I69.964. Use them to find the family, then select the specific code.

  • Sequelae › disease › cerebrovascular › paralytic syndrome (of)

Excludes1 — never code together — inherited from I60-I69

The conditions below can never be reported together with I69.964 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • traumatic intracranial hemorrhage (S06.-)

Excludes1 — never code together — inherited from I69

The conditions below can never be reported together with I69.964 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • personal history of cerebral infarction without residual deficit (Z86.73)
  • personal history of prolonged reversible ischemic neurologic deficit (PRIND) (Z86.73)
  • personal history of reversible ischemic neurologcial deficit (RIND) (Z86.73)
  • sequelae of traumatic intracranial injury (S06.-)

Excludes1 — never code together — inherited from I69.9

The conditions below can never be reported together with I69.964 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • sequelae of stroke (I69.3)
  • sequelae of traumatic intracranial injury (S06.-)

Excludes1 — never code together — inherited from I69.96

The conditions below can never be reported together with I69.964 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • hemiplegia/hemiparesis following unspecified cerebrovascular disease (I69.95-)
  • monoplegia of lower limb following unspecified cerebrovascular disease (I69.94-)
  • monoplegia of upper limb following unspecified cerebrovascular disease (I69.93-)

Use additional code — inherited from I60-I69

Report an additional code alongside I69.964 to fully describe the condition. I69.964 is sequenced first.

  • code to identify presence of:
  • alcohol abuse and dependence (F10.-)
  • exposure to environmental tobacco smoke (Z77.22)
  • history of tobacco dependence (Z87.891)
  • hypertension (I10-I1A)
  • occupational exposure to environmental tobacco smoke (Z57.31)
  • tobacco dependence (F17.-)
  • tobacco use (Z72.0)

Use additional code — inherited from I69.96

Report an additional code alongside I69.964 to fully describe the condition. I69.964 is sequenced first.

  • code to identify type of paralytic syndrome, such as:
  • locked-in state (G83.5)
  • quadriplegia (G82.5-)

Excludes2 — not included here — inherited from Chapter 9

The conditions below are not part of I69.964, but a patient may have both at the same time. When documentation supports it, I69.964 and the excluded code may both be reported.

  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
  • systemic connective tissue disorders (M30-M36)
  • transient cerebral ischemic attacks and related syndromes (G45.-)

How long has I69.964 existed?

I69.964 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.

What other codes are in the I69.96 family? (5)