ICD-10 Code I69.265 – Other paralytic syndrome following other nontraumatic intracranial hemorrhage, bilateral (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code I69.265 – Other paralytic syndrome following other nontraumatic intracranial hemorrhage, bilateral
What it is
This code identifies residual bilateral paralysis or weakness that remains after a nontraumatic intracranial hemorrhage. It reflects a late effect, not the active bleeding event.
Clinical signs
Clinical features vary; refer to documentation. You may see persistent weakness, impaired movement, or loss of motor control affecting both sides after the hemorrhage has resolved.
When to use this code
Use this code when the record documents bilateral paralytic syndrome as a sequela of a prior nontraumatic intracranial hemorrhage. Confirm that the current encounter is for the residual deficit, not the acute stroke or bleed.
Apply it when the provider links the paralysis to the earlier hemorrhage and specifies bilateral involvement. Check documentation if laterality, cause, or sequela status is unclear.
Do not use for
Do not use this code for acute intracranial hemorrhage, unilateral deficits, or paralysis from another cause. Check documentation if the neurologic deficit is not clearly tied to a prior hemorrhage.
Coding tip
Always code the sequela and the original hemorrhage history only when documentation supports both.