2025 ICD-10-CM code I69.95
(Active) Effective Date: N/A Revision Date: N/A Cerebrovascular diseases - Sequelae of cerebrovascular disease Chapter 9: Diseases of the circulatory system (I00-I99) Feed
Hemiplegia and hemiparesis following an unspecified cerebrovascular disease.
Use additional codes to specify the affected side (right: I69.951, left: I69.952).
Medical necessity should be supported by documentation of the functional limitations resulting from the hemiplegia and hemiparesis and the need for ongoing medical care or rehabilitation services.
Clinicians should document the presence of both hemiplegia and hemiparesis, as well as evidence of a prior cerebrovascular event. The specific deficits and their impact on the patient's functional abilities should be clearly documented.
In simple words: This code indicates that a patient has weakness and paralysis on one side of their body after having a stroke or other circulatory problem in their brain, but the specific cause of this problem isn't identified in the code.
This code signifies the presence of both hemiplegia (paralysis) and hemiparesis (weakness) on one side of the body, resulting from a cerebrovascular disease that is not specified.
Example 1: A patient presents with right-sided hemiplegia and hemiparesis following a stroke, but the type of stroke is not documented in the available medical records., A patient has left-sided weakness and paralysis after a cerebrovascular event, but the imaging and other diagnostic tests do not definitively identify the nature of the event., An elderly patient with a history of cerebrovascular disease develops hemiplegia and hemiparesis but the medical records lack the specific details of the initial diagnosis.
Documentation should include neurological examination findings, details of the hemiplegia and hemiparesis, evidence of a preceding cerebrovascular event, and any relevant imaging or diagnostic test results.
** Excludes1: sequelae of stroke (I69.3) and sequelae of traumatic intracranial injury (S06.-). Excludes2: certain conditions originating in the perinatal period (P04-P96), certain infectious and parasitic diseases (A00-B99), complications of pregnancy, childbirth, and the puerperium (O00-O9A), congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99), endocrine, nutritional, and metabolic diseases (E00-E88), injury, poisoning, and certain other consequences of external causes (S00-T88), neoplasms (C00-D49), symptoms, signs, and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94), and systemic connective tissue disorders (M30-M36).
- Specialties:Neurology, Physical Medicine and Rehabilitation, Internal Medicine
- Place of Service:Inpatient Hospital, Skilled Nursing Facility, Rehabilitation Facility, Outpatient Hospital, Office