ICD-10 Code I69.861 – Other paralytic syndrome following other cerebrovascular disease affecting right dominant side (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code I69.861 – Other paralytic syndrome following other cerebrovascular disease affecting right dominant side
What it is
This code identifies a lingering paralytic syndrome affecting the right dominant side after a prior cerebrovascular disease. Use it for residual weakness or paralysis that remains after the acute event has passed.
Clinical signs
Findings commonly include reduced strength, impaired movement, or loss of voluntary control on the right dominant side. Clinical features vary; refer to documentation for the exact residual deficit and laterality.
When to use this code
Use I69.861 when the record clearly links the current paralytic deficit to a previous cerebrovascular disease and specifies the right dominant side. It applies to aftercare or follow-up encounters where the residual condition is still present. You should not use it for the acute stroke event itself.
Do not use for
Do not use this code for acute cerebrovascular disease, transient symptoms, or weakness without documented post-stroke residuals. Check documentation if the side, dominance, or cause is not clearly stated.
Coding tip
Confirm that the provider documents both the prior cerebrovascular disease and the persistent right dominant-sided paralysis before assigning this code.