ICD-10 Code I69.865 – Other paralytic syndrome following other cerebrovascular disease, bilateral (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code I69.865 – Other paralytic syndrome following other cerebrovascular disease, bilateral
What it is
This code identifies bilateral paralysis or weakness that remains after a cerebrovascular disease, other than stroke categories specifically named elsewhere. Use it for lasting neurologic deficits attributed to the prior vascular event.
Clinical signs
Clinical features vary; refer to documentation. You may see bilateral motor weakness, reduced voluntary movement, abnormal tone, or impaired mobility documented as a sequela of cerebrovascular disease.
When to use this code
Use this code when the record states a persistent paralytic syndrome affecting both sides after a prior cerebrovascular disease. It applies to residual deficits, not the acute event. Confirm that the provider links the bilateral paralysis to the cerebrovascular condition.
Do not use for
Do not use this code for acute stroke, transient neurologic symptoms, or unilateral paralysis. If the documentation does not clearly identify a bilateral residual deficit from cerebrovascular disease, check documentation.
Coding tip
Code the residual sequela first when the record documents ongoing bilateral paralysis after a past cerebrovascular disease.