ICD-10-CM 2027 diagnosis code
I69.165Other paralytic syndrome following nontraumatic intracerebral hemorrhage, bilateral
I69.165 is a valid, billable ICD-10-CM code for other paralytic syndrome following nontraumatic intracerebral hemorrhage, bilateral. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Oth paralytic syndrome following ntrm intcrbl hemor, bi
Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data
About I69.165
I69.165 is the ICD-10-CM diagnosis code for other paralytic syndrome following nontraumatic intracerebral hemorrhage, bilateral. It belongs to category I69 (sequelae of cerebrovascular disease), block I60-I69 (cerebrovascular diseases) and chapter 9 (diseases of the circulatory system). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.
Within I69.16 (other paralytic syndrome following nontraumatic intracerebral hemorrhage), I69.165 is specifically for other paralytic syndrome following nontraumatic intracerebral hemorrhage, bilateral. Related codes cover affecting right dominant side (I69.161), affecting left dominant side (I69.162), affecting right non-dominant side (I69.163), affecting left non-dominant side (I69.164) and affecting unspecified side (I69.169).
It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.
In MS-DRG v44.0, it is part of the grouping logic for DRG 056 (Degenerative Nervous System Disorders with MCC, relative weight 2.2655) and DRG 057 (Degenerative Nervous System Disorders without MCC, relative weight 1.2838), in MDC 01 (Diseases and Disorders of the Nervous System), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.
It is exempt from present-on-admission (POA) reporting, so no POA indicator is required.
It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.
Before ICD-10, this condition was coded in ICD-9-CM as 438.53 (late effects of cerebrovascular disease, other paralytic syndrome, bilateral).
Notes that apply from higher levels
Instructions written at a parent level also apply to I69.165.
› From I69 Sequelae of cerebrovascular disease
Broader instructions also apply from I60-I69 Cerebrovascular diseases and Chapter 9: Diseases of the circulatory system.
MS-DRG v44.0 grouping
All DRGs →Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.
MDC 01 · Diseases and Disorders of the Nervous System
ICD-9-CM equivalent
Converter →- 438.53Late effects of cerebrovascular disease, other paralytic syndrome, bilateralapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about I69.165
Is I69.165 billable?
- Yes. I69.165 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can I69.165 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict I69.165 as a principal diagnosis.
Is I69.165 a CC or MCC?
- No. I69.165 is neither a CC nor an MCC under MS-DRG v44.0.
What DRG does I69.165 group to?
- I69.165 is used in the MS-DRG v44.0 logic for MS-DRG 056 (Degenerative Nervous System Disorders with MCC) and MS-DRG 057 (Degenerative Nervous System Disorders without MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.
What is the ICD-9 code for I69.165?
- The CMS General Equivalence Mappings map I69.165 to ICD-9-CM 438.53.