ICD-10 Code I69.965 – Other paralytic syndrome following unspecified cerebrovascular disease, bilateral (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code I69.965 – Other paralytic syndrome following unspecified cerebrovascular disease, bilateral
What it is
This code identifies a residual paralytic condition affecting both sides of the body after an unspecified cerebrovascular disease. Use it when the paralysis is documented as a late effect of stroke-like illness, but the underlying event is not further specified.
Clinical signs
Findings may include bilateral weakness, loss of voluntary movement, abnormal tone, or impaired coordination after a prior cerebrovascular event. Clinical features vary; refer to documentation.
When to use this code
Use I69.965 when the record clearly states a bilateral paralytic syndrome is due to a previous unspecified cerebrovascular disease. It is appropriate for ongoing deficits seen during follow-up, rehabilitation, or chronic care. Do not use it for an acute stroke or when the cause is better specified elsewhere.
Do not use for
Do not use this code for acute cerebrovascular disease, transient symptoms, or paralysis without a documented cerebrovascular cause. Check documentation if the laterality or type of residual deficit is unclear.
Coding tip
Link the residual paralysis to the prior cerebrovascular condition in the note before assigning this code.