2025 ICD-10-CM code I69.86
(Active) Effective Date: N/A Diseases of the circulatory system - Sequelae of other cerebrovascular diseases 9 Feed
Other paralytic syndrome following other cerebrovascular disease. Use additional code to identify type of paralytic syndrome, such as locked-in state (G83.5) or quadriplegia (G82.5-).
Medical necessity must be established by demonstrating the relationship between the paralytic syndrome and the cerebrovascular disease.Documentation should support the need for ongoing care and any required therapies or interventions.
The physician is responsible for documenting the specific type of paralytic syndrome and the underlying cerebrovascular disease that caused it. Accurate coding requires clear documentation of the patient's condition and history, including any relevant comorbidities. Any contributing factors like alcohol or tobacco use should also be documented.
In simple words: This code indicates paralysis resulting from a stroke or other cerebrovascular disease, excluding those caused by trauma.A doctor will also use a code to specify the type of paralysis, such as quadriplegia or locked-in syndrome.
Other paralytic syndrome following other cerebrovascular disease. This code is used to report a paralytic syndrome that occurs as a sequela (residual effect) of a cerebrovascular disease, excluding traumatic intracranial injury.It is necessary to use an additional code to specify the type of paralysis, such as locked-in syndrome (G83.5) or quadriplegia (G82.5-).
Example 1: A patient experiences a stroke that results in quadriplegia. I69.86 is used to code the paralytic syndrome, along with G82.5- to specify quadriplegia and the appropriate code for the type of stroke., A patient has a history of cerebrovascular disease and develops locked-in syndrome. I69.86 is used with G83.5 to specify locked-in syndrome and the code for the specific cerebrovascular disease., A patient suffers a nontraumatic cerebral hemorrhage that leads to a generalized paralytic syndrome. I69.86 is used along with additional codes to specify the type of paralysis and the underlying hemorrhage.
Documentation should clearly specify the type of paralytic syndrome, the underlying cerebrovascular disease, the date of the initial cerebrovascular event, and the current functional limitations. Any other neurological deficits should also be documented.
- Specialties:Neurology, Physical Medicine and Rehabilitation, Internal Medicine
- Place of Service:Inpatient Hospital, Skilled Nursing Facility, Rehabilitation Facility, Outpatient Hospital