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Compare/I69.83 vs I69.86

I69.83 vs I69.86

I69.83 (Monoplegia of upper limb following other cerebrovascular disease) compared with I69.86 (Other paralytic syndrome following other cerebrovascular disease), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. I69.86 carries an Excludes1 note covering I69.83: “monoplegia of upper limb following other cerebrovascular disease (I69.83-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

I69.83Monoplegia of upper limb following other cerebrovascular diseaseI69.86Other paralytic syndrome following other cerebrovascular disease
Billing statusNon-billable header

Report instead: I69.831, I69.832, I69.833, I69.834, I69.839

Non-billable header

Report instead: I69.861, I69.862, I69.863, I69.864, I69.865

ClassificationI00-I99 — Diseases of the Circulatory System (I00-I99)I00-I99 — Diseases of the Circulatory System (I00-I99)
DefinitionMonoplegia of upper limb following other cerebrovascular disease is a non-billable ICD-10-CM category code (I69.83).Other paralytic syndrome following other cerebrovascular disease is a non-billable ICD-10-CM category code (I69.86).
Use additional code
code to identify presence of:
alcohol abuse and dependence (F10.-)
exposure to environmental tobacco smoke (Z77.22)
code to identify type of paralytic syndrome, such as:
locked-in state (G83.5)
quadriplegia (G82.5-)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources