I69.259Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting unspecified side

I69.259 is the ICD-10-CM diagnosis code for hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting unspecified side. 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 I69.25, choose I69.259 (affecting unspecified side) only when documentation doesn't support a more specific option: affecting right dominant side (I69.251), affecting left dominant side (I69.252), affecting right non-dominant side (I69.253) and affecting left non-dominant side (I69.254).

As a secondary diagnosis it is a CC (complication or comorbidity), which can move an inpatient stay into the "with CC" MS-DRG of its family, unless the principal diagnosis excludes it.

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 an unspecified code for which a more specific option (often laterality) exists, and the Medicare Code Editor flags it for review on inpatient claims.

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 438.20 (late effects of cerebrovascular disease, hemiplegia affecting unspecified side).