ICD-10 I69.26
Non-Billable HeaderOther paralytic syndrome following other nontraumatic intracranial hemorrhage
About ICD-10-CM I69.26
ICD-10-CM code I69.26 represents Other paralytic syndrome following other nontraumatic intracranial hemorrhage. This is a non-billable header code in the Circulatory System chapter (block I69). The 2026 edition of ICD-10-CM I69.26 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Type 1 Excludes
Pure excludes, these codes can never be coded together with I69.26. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- hemiplegia/hemiparesis following other nontraumatic intracranial hemorrhage (I69.25-)
- monoplegia of lower limb following other nontraumatic intracranial hemorrhage (I69.24-)
- monoplegia of upper limb following other nontraumatic intracranial hemorrhage (I69.23-)
Use Additional Code
When coding I69.26, also report these additional codes when applicable.
- code to identify type of paralytic syndrome, such as:
- locked-in state (G83.5)
- quadriplegia (G82.5-)
Medicare LCD Coverage for I69.26
Local Coverage Determinations (LCDs) from CMS MACs that list I69.26 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing I69.26.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but I69.26 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with I69.26
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To I69.26
Other codes in section I60-I69 (Cerebrovascular diseases).
ICD-10 I69.26, Billing FAQ
Is ICD-10 code I69.26 billable? +
No, I69.26 is a non-billable header code. Use a more specific child code from block I69 when submitting claims.
What codes are Type 1 Excludes for I69.26? +
Type 1 Excludes (never code together with I69.26): hemiplegia/hemiparesis following other nontraumatic intracranial hemorrhage (I69.25-); monoplegia of lower limb following other nontraumatic intracranial hemorrhage (I69.24-); monoplegia of upper limb following other nontraumatic intracranial hemorrhage (I69.23-)
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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