ICD-10 Code I69.165 – Other paralytic syndrome following nontraumatic intracerebral hemorrhage, bilateral (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code I69.165 – Other paralytic syndrome following nontraumatic intracerebral hemorrhage, bilateral
What it is
This code identifies a bilateral paralytic syndrome that remains after a nontraumatic intracerebral hemorrhage. Use it for residual weakness or paralysis affecting both sides after the acute bleed has resolved.
Clinical signs
Findings usually include persistent motor impairment, reduced voluntary movement, and bilateral weakness or paralysis documented after intracerebral hemorrhage. Clinical features vary; refer to documentation.
When to use this code
Use this code when the record clearly links the ongoing bilateral paralytic deficit to a prior nontraumatic intracerebral hemorrhage. It applies to sequelae, not the acute hemorrhage itself. If the documentation does not specify bilateral involvement or the residual deficit, check documentation.
Do not use for
Do not use this code for the active intracerebral hemorrhage, traumatic brain injury, or paralysis from another cause. Also avoid it when laterality is not bilateral or the residual condition is unspecified.
Coding tip
Confirm the note states both the hemorrhage history and the bilateral paralytic sequela before assigning I69.165.