I69.85 vs I69.86
I69.85 (Hemiplegia and hemiparesis 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 I69.85: “hemiplegia/hemiparesis following other cerebrovascular disease (I69.85-)”
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
| I69.85Hemiplegia and hemiparesis following other cerebrovascular disease | I69.86Other paralytic syndrome following other cerebrovascular disease | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header |
| Classification | I00-I99 — Diseases of the Circulatory System (I00-I99) | I00-I99 — Diseases of the Circulatory System (I00-I99) |
| Definition | Hemiplegia and hemiparesis following other cerebrovascular disease is a non-billable ICD-10-CM category code (I69.85). | 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