I69.862: Oth parlyt synd fol oth cerebvasc disease aff left dom side
Other paralytic syndrome following other cerebrovascular disease affecting left dominant side
Quick Clinical & Billing Summary
What is ICD-10-CM code I69.862? I69.862 represents Oth parlyt synd fol oth cerebvasc disease aff left dom side. Under official CDC guidelines, this code is billable and specific for claim submission.
Code Hierarchy & Classification
Clinical Guidance & Documentation Standards
CMS-HCC Risk Adjustment Model
Diagnoses under category I69 map to the official CMS-HCC (Hierarchical Condition Category) risk adjustment model used for Medicare Advantage risk scoring.
Associated Procedures & Medicare RVU Reimbursement
Open RVU Calculator →Typical outpatient and office evaluation procedures frequently billed alongside diagnosis I69.862:
| CPT/HCPCS | Description | Work RVU | Non-Facility Fee | Facility Fee |
|---|---|---|---|---|
| 99213 | Office/outpatient visit, established patient, 20-29 minutes (Low MDM) | 1.30 | $91.69 | $66.79 |
| 99214 | Office/outpatient visit, established patient, 30-39 minutes (Moderate MDM) | 1.92 | $133.61 | $100.21 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection (subcutaneous/intramuscular) | 0.17 | $18.34 | $12.44 |
CPT Modifier & Billing Rules
Append when a significant, separately identifiable evaluation and management service is provided on the same calendar day as a minor surgical procedure or injection.
Identifies procedures or services not normally reported together but distinct under the clinical circumstances. Use CMS X-modifiers (XE, XS, XP, XU) where required by Medicare.
Frequently Asked Questions about I69.862
Is I69.862 a billable ICD-10 code?
Yes, I69.862 is a valid, billable and specific ICD-10-CM code. It can be reported as a primary or secondary diagnosis on medical claims.
What is the ICD-10 code for Oth parlyt synd fol oth cerebvasc disease aff left dom side?
The primary ICD-10-CM code for Oth parlyt synd fol oth cerebvasc disease aff left dom side is I69.862.
What is the effective date of the current I69.862 code?
The code is active for fiscal year FY2027, effective starting 2026-10-01.
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