ICD-10 Code I69.365 – Other Paralytic Syndrome Following Cerebral Infarction, Bilateral (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code I69.365 – Other paralytic syndrome following cerebral infarction, bilateral
What it is
I69.365 identifies a persistent paralytic syndrome affecting both sides of the body after a cerebral infarction, or ischemic stroke. Use it when the weakness or paralysis is a late effect of the prior stroke.
Clinical signs
Typical findings include bilateral motor weakness, reduced voluntary movement, or paralysis documented after a previous cerebral infarction. Clinical features vary; refer to documentation.
When to use this code
Use this code when the record links current bilateral paralysis or paresis to a past cerebral infarction and the stroke is no longer acute. You should code the residual deficit, not the old stroke event itself. Confirm laterality and that the condition is a sequela.
Do not use for
Do not use this code for an acute ischemic stroke or for paralysis without documentation tying it to a prior cerebral infarction. Check documentation if the deficit is unilateral or the cause is another neurologic disorder.
Coding tip
Verify that the provider documents a residual bilateral paralytic syndrome and a history of cerebral infarction before assigning I69.365.