2025 ICD-10-CM code I69.36
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Cerebrovascular diseases - Other paralytic syndromes following cerebral infarction Chapter IX: Diseases of the circulatory system Feed
Other paralytic syndrome following a stroke (cerebral infarction).Additional codes specify the type of paralysis.
Medical necessity is established by the presence of a confirmed cerebral infarction leading to a paralytic syndrome requiring medical management and rehabilitation. The extent of the paralysis necessitates the use of this code, demonstrating the need for ongoing care.
Neurologist or physician specializing in stroke care.The clinical responsibility involves diagnosis of the stroke, assessment of neurological deficits, and management of the paralytic syndrome.
In simple words: This code describes a type of paralysis that happens after a stroke.The doctor will use extra codes to explain exactly what kind of paralysis it is.
This code, I69.36, classifies other paralytic syndromes that occur as a consequence of a cerebral infarction (stroke).It is crucial to use additional codes to specify the precise type of paralytic syndrome present, examples include locked-in syndrome (G83.5), and various types of quadriplegia (G82.5-).This code excludes hemiplegia/hemiparesis (I69.35-), monoplegia of the lower limb (I69.34-), and monoplegia of the upper limb (I69.33-) following cerebral infarction.
Example 1: A 65-year-old male presents with right-sided weakness and difficulty speaking following a left cerebral infarction.Neurological examination reveals a right hemiplegia and expressive aphasia.I69.36 is not used as hemiplegia is specifically coded elsewhere. , A 72-year-old female experiences a brainstem stroke resulting in quadriplegia and significant bulbar dysfunction.The code I69.36 is used in conjunction with a code specifying the type of quadriplegia. , An 80-year-old patient presents with locked-in syndrome following a pontine infarction.The diagnosis is supported by neurological imaging and clinical assessment.I69.36 is used, alongside G83.5 (locked-in syndrome), to accurately reflect the patient's condition.
Detailed neurological examination documenting the extent and type of paralysis.Neuroimaging studies (CT scan, MRI) confirming the cerebral infarction.Physician's progress notes documenting the clinical course and management of the condition.
** The selection of this code requires careful consideration of the specific type of paralysis.Always review the official ICD-10-CM guidelines and clinical documentation to ensure accurate coding.
- Payment Status: Active
- Specialties:Neurology, physiatry (rehabilitation medicine)
- Place of Service:Inpatient Hospital, Skilled Nursing Facility, Rehabilitation Facility, Office