I69.254 ICD-10-CM Code: Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting left non-dominant side
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Coding at a Glance
- Tabular directives
- 5 Excludes1 · 8 use-additional codes
- Risk adjustment
- CMS-HCC V28: 1 category · CMS-HCC V22 category 103
Inpatient Payment Groups (MS-DRG)
Potential MS-DRG participation — not a DRG assignment.
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43, Appendix B.
- MS-DRG 056 — DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC (MDC 01)
- MS-DRG 057 — DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC (MDC 01)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Risk Adjustment (CMS-HCC)
Payment categories this diagnosis maps to under CMS-HCC V28, payment year 2026.
- HCC 253 — Hemiplegia/Hemiparesis (supersedes HCC 254)
Other models: CMS-HCC V22 HCC 103
Risk scores depend on the enrollee's full accepted diagnosis set and segment; a category mapping alone does not determine payment.
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for I69.254 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025
Notes without a marker are published on I69.254 itself; “inherited from” names the category or block whose note applies here.
Excludes1 — Not Coded Here
Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
- personal history of cerebral infarction without residual deficit (Z86.73) inherited from I69Compare I69.254 vs Z86.73 →
- personal history of prolonged reversible ischemic neurologic deficit (PRIND) (Z86.73) inherited from I69Compare I69.254 vs Z86.73 →
- personal history of reversible ischemic neurologcial deficit (RIND) (Z86.73) inherited from I69Compare I69.254 vs Z86.73 →
- sequelae of traumatic intracranial injury (S06.-) inherited from I69Compare I69.254 vs S06 →
- traumatic intracranial hemorrhage (S06.-) inherited from I60-I69Compare I69.254 vs S06 →
Use Additional Code
Supplementary codes the tabular list directs you to add.
- Use additional 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)
Source: inherited from I60-I69
Coder workflow for I69.254
MedCoder structured workflow — derived from this code’s own official record
Before you code I69.254
- Laterality is coded in this family. Confirm the side documented — right, left, or bilateral — and select the matching code (this page’s code: left). The unspecified-side code applies only when the record states no side. Laterality is assigned from the documented side; where a bilateral code exists and both sides are documented, it is used instead of two unilateral codes (Guidelines I.B.13).
ReviewI69.253 · right
- Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with I69.254. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).
Choose the right path
- Does the documentation support a condition named in I69.254’s Excludes1 note?
Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
No → Continue. - Is the side documented?
Yes → Select the code for the documented side (or the bilateral code when both sides are documented and one exists).
No → Use the unspecified-side code only when the record states no side; a query is the alternative.ReviewI69.253 · right
Consider I69.254. Then work the Use Additional Code note, and confirm the code is valid for the date of service in the Verify section.
Documentation check
- The provider’s diagnostic statement
- Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
- Laterality
- Right, left or bilateral as documented; unspecified only when the record states no side (Guidelines I.B.13).
- The conditions the Use Additional Code note names
- Reported with this code when documented; a conditional instruction (“if applicable”, “if known”) applies only when the record supports it.
Official instructions as workflow
Excludes1 — check before selecting I69.254(5 notes)
Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with I69.254: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.
See the official tabular notes · Guidelines I.A.12.a
Use Additional Code — after identifying I69.254(8 notes)
Coding workflow: Check whether the documentation supports the additional code(s) the note names, and report them with I69.254 when it does. Where the instruction is conditional (“if applicable”, “if known”), it applies only when the record documents the condition.
ReviewF10, Z77.22, Z87.891, Z57.31, F17, Z72.0
See the official tabular notes · Guidelines I.A.13
Coding decision scenarios
Pattern scenarios for this code’s structure — decision rules, not clinical cases
Documentation: Both the condition I69.254 describes and a condition named in its Excludes1 note are documented for the same encounter.
Coding question: Can both codes be reported?
Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.
Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).
Documentation: The record documents the condition on one side only.
Coding question: Which code in this family applies?
Path: Select the sibling code for the documented side.
Reason: Laterality is assigned from the documented side; the unspecified-side code is for records that state no side (Guidelines I.B.13).
ReviewI69.253 · right
Documentation: A condition the Use Additional Code note names is documented.
Coding question: Is a second code reported with I69.254?
Path: Review the Use Additional Code note and the code it names.
Reason: The additional code is reported when the record documents the condition; a conditional instruction applies only when its condition is met (Guidelines I.A.13).
Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Official Coding Guidelines
Official source data — quoted verbatim from the CMS/NCHS Official Guidelines
Official source data — quoted verbatim from the CMS/NCHS Official Guidelines
Verbatim excerpts from the ICD-10-CM Official Guidelines for Coding and Reporting (CMS/NCHS) that govern this code.
Chapter 9: Diseases of the Circulatory System (I00 -I99)
4) Hypertensive Cerebrovascular Disease For hypertensive cerebrovascular disease, first assign the appropriate code from categories I60-I69, followed by the appropriate hypertension code.
Chapter 9: Diseases of the Circulatory System (I00 -I99)
1) Category I69, Sequelae of Cerebrovascular disease Category I69 is used to indicate conditions classifiable to categories I60- I67 as the causes of sequela (neurologic deficits), themselves classified elsewhere. These “late effects” include neurologic deficits that persist after initial onset of conditions classifiable to categories I60-I67. The neurologic deficits caused by cerebrovascular disease may be present from the onset or may arise at any time after the onset of the condition classifiable to categories I60-I67.
Chapter 9: Diseases of the Circulatory System (I00 -I99)
Codes from category I69, Sequelae of cerebrovascular disease, that specify hemiplegia, hemiparesis and monoplegia identify whether the dominant or nondominant side is affected. Should the affected side be documented, but not specified as dominant or nondominant, and the classification system does not indicate a default, code selection is as follows: • For ambidextrous patients, the default should be dominant. • If the left side is affected, the default is non-dominant. • If the right side is affected, the default is dominant.
Chapter 9: Diseases of the Circulatory System (I00 -I99)
2) Codes from category I69 with codes from I60-I67 Codes from category I69 may be assigned on a health care record with codes from I60-I67, if the patient has a current cerebrovascular disease and deficits from an old cerebrovascular disease.
Chapter 9: Diseases of the Circulatory System (I00 -I99)
3) Codes from category I69 and Personal history of transient ischemic attack (TIA) and cerebral infarction (Z86.73) Codes from category I69 should not be assigned if the patient does not have neurologic deficits.
Decision Points
The directives on this code's own record, as a pre-claim checklist.
- Laterality is coded in this family. Confirm the documented side matches the code — the opposite-side siblings are in the relationships section. See the opposite-side sibling codes
- 8 Use Additional Code instructions — report the named additional code(s) when the documentation supports them. See the Use Additional Code notes
- 5 Excludes1 entries — codes named there are generally not reported together with this code (Guidelines I.A.12.a). See the Excludes1 notes
Checklist rows are derived from this code's own official directives; the wording of each check is MedCoder editorial. The official notes themselves are in the sections each row links to.
Verify Before Coding
- CC as a secondary diagnosis (FY2026). Can raise the stay's MS-DRG severity tier.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
MedCoder structured relationships — computed from published CMS and AHRQ datasets
Other codes that name I69.254 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
Referenced by 15 Excludes1 notes across 5 chapters: F06.7 — Mild neurocognitive disorder due to known physiological condition (via I69.-), F80.81 — Childhood onset fluency disorder (via I69.-), F98.5 — Adult onset fluency disorder (via I69.-), G31.84 — Mild cognitive impairment of uncertain or unknown etiology (via I69.-), G81 — Hemiplegia and hemiparesis (via I69.25.-), I69.26 — Other paralytic syndrome following other nontraumatic intracranial hemorrhage (via I69.25.-), R27.0 — Ataxia, unspecified (via I69.-), R29.810 — Facial weakness (via I69.-), R47.01 — Aphasia (via I69.-), R47.02 — Dysphasia (via I69.-), R47.1 — Dysarthria and anarthria (via I69.-), R47.8 — Other speech disturbances (via I69.-), R47.82 — Fluency disorder in conditions classified elsewhere (via I69.-), R48.2 — Apraxia (via I69.-), Z86.73 — Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits (via I69.-).
These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.
Referenced by 2 Excludes2 notes: I10 — Essential (primary) hypertension (via I69.-), I15 — Secondary hypertension (via I69.-).
These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.
Referenced by 3 Code First instructions across 3 chapters: F48.2 — Pseudobulbar affect (via I69.-), G46 — Vascular syndromes of brain in cerebrovascular diseases (via I69.-), R13.1 — Dysphagia (via I69.-).
Each of these codes carries a Code First note naming this condition — when that code is reported, THIS code is sequenced first, ahead of it.
MS-DRG Grouper Relationships (FY2026)
Potential MS-DRG participation — not a DRG assignment.
FY2026 MS-DRG: CC — Complication or Comorbidity. Reported as a secondary diagnosis, this code raises the stay's MS-DRG severity tier — except when the principal diagnosis is one of 12 clinically related codes on its CMS exclusion list.
Named in the grouper logic of 2 MS-DRGs: DRG 056 (MDC 01), DRG 057 (MDC 01).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Clinical classification (AHRQ CCSR):CIR022 — Sequela of hemorrhagic cerebrovascular disease (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Related Codes
Same clinical process (MS-DRG)
Acts as CC — raises the severity of other admissions. CMS groups these diagnoses into one MS-DRG principal-diagnosis exclusion process — a CC/MCC on this list never raises severity when the principal diagnosis is also on it.
I69.053 — Hemiplegia and hemiparesis following nontraumatic subarachnoid hemorrhage affecting right non-dominant side, I69.054 — Hemiplegia and hemiparesis following nontraumatic subarachnoid hemorrhage affecting left non-dominant side, I69.153 — Hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting right non-dominant side, I69.154 — Hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting left non-dominant side, I69.253 — Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting right non-dominant side, I69.353 — Hemiplegia and hemiparesis following cerebral infarction affecting right non-dominant side, I69.354 — Hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side, I69.853 — Hemiplegia and hemiparesis following other cerebrovascular disease affecting right non-dominant side, I69.854 — Hemiplegia and hemiparesis following other cerebrovascular disease affecting left non-dominant side, I69.953 — Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting right non-dominant side, I69.954 — Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting left non-dominant side
Same condition, opposite side
Same category and title, differing only in which side of the body is affected.
I69.253 — Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting right non-dominant sideCompare I69.254 vs I69.253 →
Same CMS-HCC risk category (V28)
CMS maps these diagnoses to the same Hierarchical Condition Category (Hemiplegia/Hemiparesis) for risk-adjusted payment.
I69.054 — Hemiplegia and hemiparesis following nontraumatic subarachnoid hemorrhage affecting left non-dominant side, I69.059 — Hemiplegia and hemiparesis following nontraumatic subarachnoid hemorrhage affecting unspecified side, I69.151 — Hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting right dominant side, I69.152 — Hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting left dominant side, I69.153 — Hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting right non-dominant side, I69.154 — Hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting left non-dominant side, I69.159 — Hemiplegia and hemiparesis following nontraumatic intracerebral hemorrhage affecting unspecified side, I69.251 — Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting right dominant side, I69.252 — Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting left dominant side, I69.253 — Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting right non-dominant side, I69.259 — Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting unspecified side, I69.351 — Hemiplegia and hemiparesis following cerebral infarction affecting right dominant side, I69.352 — Hemiplegia and hemiparesis following cerebral infarction affecting left dominant side, I69.353 — Hemiplegia and hemiparesis following cerebral infarction affecting right non-dominant side, I69.354 — Hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side, I69.359 — Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side, I69.851 — Hemiplegia and hemiparesis following other cerebrovascular disease affecting right dominant side, I69.852 — Hemiplegia and hemiparesis following other cerebrovascular disease affecting left dominant side, I69.853 — Hemiplegia and hemiparesis following other cerebrovascular disease affecting right non-dominant side, I69.854 — Hemiplegia and hemiparesis following other cerebrovascular disease affecting left non-dominant side, +24 more
Related risk categories
These categories interact through CMS's HCC hierarchy — one can suppress the other's risk-adjustment weight when both are present on a claim.
Quadriplegia, Monoplegia, Other Paralytic Syndromes
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Sequela of hemorrhagic cerebrovascular disease).
I69.234 — Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting left non-dominant side, I69.239 — Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting unspecified side, I69.241 — Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting right dominant side, I69.242 — Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting left dominant side, I69.243 — Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting right non-dominant side, I69.244 — Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting left non-dominant side, I69.249 — Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting unspecified side, I69.251 — Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting right dominant side, I69.252 — Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting left dominant side, I69.253 — Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting right non-dominant side, I69.259 — Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting unspecified side, I69.261 — Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting right dominant side, I69.262 — Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting left dominant side, I69.263 — Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting right non-dominant side, I69.264 — Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting left non-dominant side, I69.265 — Other paralytic syndrome following other nontraumatic intracranial hemorrhage, bilateral, I69.269 — Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting unspecified side, I69.290 — Apraxia following other nontraumatic intracranial hemorrhage, I69.291 — Dysphagia following other nontraumatic intracranial hemorrhage, I69.292 — Facial weakness following other nontraumatic intracranial hemorrhage, +102 more
Same Index main term, other category
The ICD-10-CM Index to Diseases and Injuries files this code under the main terms “Sequelae”, “Hemiplegia”; these codes share that main term but sit in a different category of the Tabular List.
E64.3 — Sequelae of rickets (rickets), E64.8 — Sequelae of other nutritional deficiencies (niacin deficiency), E64.9 — Sequelae of unspecified nutritional deficiency (nutritional deficiency), E68 — Sequelae of hyperalimentation (hyperalimentation), F44.4 — Conversion disorder with motor symptom or deficit (hysterical), G09 — Sequelae of inflammatory diseases of central nervous system (meningitis, bacterial), G80.2 — Spastic hemiplegic cerebral palsy (spastic, congenital), G80.8 — Other cerebral palsy (congenital), G81.0 — Flaccid hemiplegia (flaccid), G81.1 — Spastic hemiplegia (spastic), G81.9 — Hemiplegia, unspecified, G81.90 — Hemiplegia, unspecified affecting unspecified side (ascending NEC), G83.89 — Other specified paralytic syndromes (alternans facialis), G95.89 — Other specified diseases of spinal cord (ascending NEC, spinal), I63.3 — Cerebral infarction due to thrombosis of cerebral arteries (thrombotic), I63.4 — Cerebral infarction due to embolism of cerebral arteries (embolic), O94 — Sequelae of complication of pregnancy, childbirth, and the puerperium (pregnancy), P11.9 — Birth injury to central nervous system, unspecified (newborn NEC, birth injury), P91.88 — Other specified disturbances of cerebral status of newborn (newborn NEC), U09.9 — Post COVID-19 condition, unspecified (COVID-19), +15 more
Lab tests where this diagnosis supports Medicare coverage (NCD)
Medicare's National Coverage Determination (NCD) program lists this diagnosis as medical justification for these lab tests.
Contextual Map
Every relationship of I69.254 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run I69.254 with these 13 related codes in Claim Check
Hierarchy
- I00-I99 — Chapter 9: Diseases of the Circulatory System (I00-I99) (I00-I99)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- I60-I69 — Cerebrovascular diseases[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Referenced by Excludes1 notes (15)
- F06.7 — Mild neurocognitive disorder due to known physiological condition[Excludes1](via I69.-): “cognitive deficits following (sequelae of) cerebral hemorrhage or infarction (I69.01-I69.11-, I69.21-I69.31-, I69.81- I69.91-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- F80.81 — Childhood onset fluency disorder[Excludes1](via I69.-): “fluency disorder (stuttering) following cerebrovascular disease (I69. with final characters -23)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- F98.5 — Adult onset fluency disorder[Excludes1](via I69.-): “fluency disorder (stuttering) following cerebrovascular disease (I69. with final characters -23)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- G31.84 — Mild cognitive impairment of uncertain or unknown etiology[Excludes1](via I69.-): “cerebrovascular diseases (I60-I69)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- G81 — Hemiplegia and hemiparesis[Excludes1](via I69.25.-): “hemiplegia and hemiparesis due to sequela of cerebrovascular disease (I69.05-, I69.15-, I69.25-, I69.35-, I69.85-, I69.95-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- I69.26 — Other paralytic syndrome following other nontraumatic intracranial hemorrhage[Excludes1](via I69.25.-): “hemiplegia/hemiparesis following other nontraumatic intracranial hemorrhage (I69.25-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- R27.0 — Ataxia, unspecified[Excludes1](via I69.-): “ataxia following cerebrovascular disease (I69. with final characters -93)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- R29.810 — Facial weakness[Excludes1](via I69.-): “facial weakness following cerebrovascular disease (I69. with final characters -92)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- and 7 more
Referenced by Excludes2 notes
- I10 — Essential (primary) hypertension[Excludes2](via I69.-): “essential (primary) hypertension involving vessels of brain (I60-I69)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- I15 — Secondary hypertension[Excludes2](via I69.-): “secondary hypertension involving vessels of brain (I60-I69)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Referenced by Code First instructions
- F48.2 — Pseudobulbar affect[Code First](via I69.-): “sequelae of cerebrovascular disease (I69.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- G46 — Vascular syndromes of brain in cerebrovascular diseases[Code First](via I69.-): “underlying cerebrovascular disease (I60-I69)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- R13.1 — Dysphagia[Code First](via I69.-): “, if applicable, dysphagia following cerebrovascular disease (I69. with final characters -91)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Clinical classification (CCSR)
- CIR022 — Sequela of hemorrhagic cerebrovascular disease[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
Risk adjustment (CMS-HCC)
- HCC 253 — Hemiplegia/Hemiparesis [CMS-HCC]: “Hemiplegia/Hemiparesis — supersedes HCC 254 (Monoplegia, Other Paralytic Syndromes)”— CMS-HCC V28 · 2026
MS-DRG Grouper
- CC — Complication or Comorbidity [MS-DRG severity]: “As a secondary diagnosis this code can raise the stay's MS-DRG severity tier (CC).”— CMS MS-DRG Definitions Manual (Appendix C) · FY2026
- DRG 056 — DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC[MS-DRG]: “DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- DRG 057 — DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC[MS-DRG]: “DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
MDC crossing
- MDC 01 — Diseases and Disorders of the Nervous System[MDC crossing]: “Diseases and Disorders of the Nervous System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 8,892 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2026
Nearest codes (40)
- I69 — Sequelae of cerebrovascular disease[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- I69.221 — Dysphasia following other nontraumatic intracranial hemorrhage[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- I69.222 — Dysarthria following other nontraumatic intracranial hemorrhage[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- I69.223 — Fluency disorder following other nontraumatic intracranial hemorrhage[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- I69.228 — Other speech and language deficits following other nontraumatic intracranial hemorrhage[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- I69.23 — Monoplegia of upper limb following other nontraumatic intracranial hemorrhage[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- I69.231 — Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting right dominant side[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- I69.232 — Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting left dominant side[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- and 32 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
- Coding guidelines Official source data
- ICD-10-CM Official Guidelines for Coding and Reporting (FY2026), quoted by section Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
- Inpatient payment groups Official source data
- CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43 Release, file and checksum · Publisher’s page
- Risk adjustment Official source data
- 2026 Mid-Year Final ICD-10 Mappings + Model Software (cms.gov/files/zip/2026-midyear-final-icd-10-mappings.zip, 2026-midyear-final-model-software.zip) — CMS-HCC V28, PY2026 mid-year final release Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "I69.254 — Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting left non-dominant side." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/i69.254-hemiplegia-and-hemiparesis-following-other-nontraumatic-intracranial-hemorrhage-affecting-left-non-dominant-side
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionHemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting left non-dominant side
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to I69.254 in its code family, with their registry titles.
- I69.249 — Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting unspecified side
- I69.25 — Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage
- I69.251 — Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting right dominant side
- I69.252 — Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting left dominant side
- I69.253 — Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting right non-dominant side
- I69.259 — Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting unspecified side
- I69.26 — Other paralytic syndrome following other nontraumatic intracranial hemorrhage
- I69.261 — Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting right dominant side
- I69.262 — Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting left dominant side
- I69.263 — Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting right non-dominant side