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ICD-10-CM 2027 diagnosis code

I69.265Other paralytic syndrome following other nontraumatic intracranial hemorrhage, bilateral

✓ Billable / specificPOA exempt

I69.265 is a valid, billable ICD-10-CM code for other paralytic syndrome following other nontraumatic intracranial 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 oth ntrm intcrn 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 I69.265

I69.265 is the ICD-10-CM diagnosis code for other paralytic syndrome following other nontraumatic intracranial 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 I69.26 (other paralytic syndrome following other nontraumatic intracranial hemorrhage), I69.265 is specifically for other paralytic syndrome following other nontraumatic intracranial hemorrhage, bilateral. Related codes cover affecting right dominant side (I69.261), affecting left dominant side (I69.262), affecting right non-dominant side (I69.263), affecting left non-dominant side (I69.264) and affecting unspecified side (I69.269).

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 I69.265.

› From I69.26 Other paralytic syndrome following other nontraumatic intracranial hemorrhage
Excludes1
  • hemiplegia/hemiparesis following other nontraumatic intracranial hemorrhage (I69.25-)
  • monoplegia of lower limb following other nontraumatic intracranial hemorrhage (I69.24-)
  • monoplegia of upper limb following other nontraumatic intracranial hemorrhage (I69.23-)
Use additional code
  • code to identify type of paralytic syndrome, such as:
  • locked-in state (G83.5)
  • quadriplegia (G82.5-)
› From I69 Sequelae of cerebrovascular disease
Note
  • Category I69 is to be used to indicate conditions in I60-I67 as the cause of sequelae. The 'sequelae' include conditions specified as such or as residuals which may occur at any time after the onset of the causal condition
Excludes1
  • personal history of cerebral infarction without residual deficit (Z86.73)
  • personal history of prolonged reversible ischemic neurologic deficit (PRIND) (Z86.73)
  • personal history of reversible ischemic neurologcial deficit (RIND) (Z86.73)
  • sequelae of traumatic intracranial injury (S06.-)

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.

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

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about I69.265

Is I69.265 billable?

Yes. I69.265 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can I69.265 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict I69.265 as a principal diagnosis.

Is I69.265 a CC or MCC?

No. I69.265 is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does I69.265 group to?

I69.265 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 I69.265?

The CMS General Equivalence Mappings map I69.265 to ICD-9-CM 438.53.