I69.351 — Hemiplegia and hemiparesis following cerebral infarction affecting right dominant side
I69.351 is a billable, specific ICD-10-CM code for hemiplegia and hemiparesis following cerebral infarction affecting right dominant side. It is valid for submission on a claim.
Excludes2 — not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
- transient ischemic attack (TIA) (G45.9)
Risk adjustment
I69.351 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 253 Hemiplegia/Hemiparesis0.387 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.
Medicare coverage
I69.351 is named in 25 Medicare coverage policies — 25 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52992Billing and Coding: Non-Invasive Cerebrovascular Arterial Studies
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
Related codes at this level
Codes that share I69.35. If I69.351 is not quite right, the correct code is usually one of these.
- I69.352Hemiplegia and hemiparesis following cerebral infarction affecting left dominant side
- I69.353Hemiplegia and hemiparesis following cerebral infarction affecting right non-dominant side
- I69.354Hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side
- I69.359Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side
Questions about I69.351
- Is I69.351 a billable ICD-10-CM code?
- Yes. I69.351 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does I69.351 sit in the tabular list?
- Diseases of the circulatory system (I00-I99), in the block Cerebrovascular diseases (I60-I69).