HCC 254 (V28)
Monoplegia, Other Paralytic Syndromes
119 ICD-10-CM codes map to this category in the CMS-HCC V28 risk adjustment model for payment year 2027. All 115 HCCs
Overridden by: HCC 180 (Quadriplegia), HCC 181 (Paraplegia), HCC 191 (Quadriplegic Cerebral Palsy), HCC 192 (Cerebral Palsy, Except Quadriplegic), HCC 253 (Hemiplegia/Hemiparesis). If the patient also has one of these, only the higher HCC counts.
| G83.0 | Diplegia of upper limbs |
| G83.10 | Monoplegia of lower limb affecting unspecified side |
| G83.11 | Monoplegia of lower limb affecting right dominant side |
| G83.12 | Monoplegia of lower limb affecting left dominant side |
| G83.13 | Monoplegia of lower limb affecting right nondominant side |
| G83.14 | Monoplegia of lower limb affecting left nondominant side |
| G83.20 | Monoplegia of upper limb affecting unspecified side |
| G83.21 | Monoplegia of upper limb affecting right dominant side |
| G83.22 | Monoplegia of upper limb affecting left dominant side |
| G83.23 | Monoplegia of upper limb affecting right nondominant side |
| G83.24 | Monoplegia of upper limb affecting left nondominant side |
| G83.30 | Monoplegia, unspecified affecting unspecified side |
| G83.31 | Monoplegia, unspecified affecting right dominant side |
| G83.32 | Monoplegia, unspecified affecting left dominant side |
| G83.33 | Monoplegia, unspecified affecting right nondominant side |
| G83.34 | Monoplegia, unspecified affecting left nondominant side |
| G83.5 | Locked-in state |
| G83.81 | Brown-Sequard syndrome |
| G83.82 | Anterior cord syndrome |
| G83.83 | Posterior cord syndrome |
| G83.84 | Todd's paralysis (postepileptic) |
| G83.89 | Other specified paralytic syndromes |
| G83.9 | Paralytic syndrome, unspecified |
| I69.031 | Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting right dominant side |
| I69.032 | Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting left dominant side |
| I69.033 | Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting right non-dominant side |
| I69.034 | Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting left non-dominant side |
| I69.039 | Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting unspecified side |
| I69.041 | Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting right dominant side |
| I69.042 | Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting left dominant side |
| I69.043 | Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting right non-dominant side |
| I69.044 | Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting left non-dominant side |
| I69.049 | Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting unspecified side |
| I69.061 | Other paralytic syndrome following nontraumatic subarachnoid hemorrhage affecting right dominant side |
| I69.062 | Other paralytic syndrome following nontraumatic subarachnoid hemorrhage affecting left dominant side |
| I69.063 | Other paralytic syndrome following nontraumatic subarachnoid hemorrhage affecting right non-dominant side |
| I69.064 | Other paralytic syndrome following nontraumatic subarachnoid hemorrhage affecting left non-dominant side |
| I69.065 | Other paralytic syndrome following nontraumatic subarachnoid hemorrhage, bilateral |
| I69.069 | Other paralytic syndrome following nontraumatic subarachnoid hemorrhage affecting unspecified side |
| I69.131 | Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting right dominant side |
| I69.132 | Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting left dominant side |
| I69.133 | Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting right non-dominant side |
| I69.134 | Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting left non-dominant side |
| I69.139 | Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting unspecified side |
| I69.141 | Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting right dominant side |
| I69.142 | Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting left dominant side |
| I69.143 | Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting right non-dominant side |
| I69.144 | Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting left non-dominant side |
| I69.149 | Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting unspecified side |
| I69.161 | Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting right dominant side |
| I69.162 | Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting left dominant side |
| I69.163 | Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting right non-dominant side |
| I69.164 | Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting left non-dominant side |
| I69.165 | Other paralytic syndrome following nontraumatic intracerebral hemorrhage, bilateral |
| I69.169 | Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting unspecified side |
| I69.231 | Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting right dominant side |
| I69.232 | Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting left dominant side |
| I69.233 | Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting right non-dominant side |
| I69.234 | Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting left non-dominant side |
| I69.239 | Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting unspecified side |
| I69.241 | Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting right dominant side |
| I69.242 | Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting left dominant side |
| I69.243 | Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting right non-dominant side |
| I69.244 | Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting left non-dominant side |
| I69.249 | Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting unspecified side |
| I69.261 | Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting right dominant side |
| I69.262 | Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting left dominant side |
| I69.263 | Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting right non-dominant side |
| I69.264 | Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting left non-dominant side |
| I69.265 | Other paralytic syndrome following other nontraumatic intracranial hemorrhage, bilateral |
| I69.269 | Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting unspecified side |
| I69.331 | Monoplegia of upper limb following cerebral infarction affecting right dominant side |
| I69.332 | Monoplegia of upper limb following cerebral infarction affecting left dominant side |
| I69.333 | Monoplegia of upper limb following cerebral infarction affecting right non-dominant side |
| I69.334 | Monoplegia of upper limb following cerebral infarction affecting left non-dominant side |
| I69.339 | Monoplegia of upper limb following cerebral infarction affecting unspecified side |
| I69.341 | Monoplegia of lower limb following cerebral infarction affecting right dominant side |
| I69.342 | Monoplegia of lower limb following cerebral infarction affecting left dominant side |
| I69.343 | Monoplegia of lower limb following cerebral infarction affecting right non-dominant side |
| I69.344 | Monoplegia of lower limb following cerebral infarction affecting left non-dominant side |
| I69.349 | Monoplegia of lower limb following cerebral infarction affecting unspecified side |
| I69.361 | Other paralytic syndrome following cerebral infarction affecting right dominant side |
| I69.362 | Other paralytic syndrome following cerebral infarction affecting left dominant side |
| I69.363 | Other paralytic syndrome following cerebral infarction affecting right non-dominant side |
| I69.364 | Other paralytic syndrome following cerebral infarction affecting left non-dominant side |
| I69.365 | Other paralytic syndrome following cerebral infarction, bilateral |
| I69.369 | Other paralytic syndrome following cerebral infarction affecting unspecified side |
| I69.831 | Monoplegia of upper limb following other cerebrovascular disease affecting right dominant side |
| I69.832 | Monoplegia of upper limb following other cerebrovascular disease affecting left dominant side |
| I69.833 | Monoplegia of upper limb following other cerebrovascular disease affecting right non-dominant side |
| I69.834 | Monoplegia of upper limb following other cerebrovascular disease affecting left non-dominant side |
| I69.839 | Monoplegia of upper limb following other cerebrovascular disease affecting unspecified side |
| I69.841 | Monoplegia of lower limb following other cerebrovascular disease affecting right dominant side |
| I69.842 | Monoplegia of lower limb following other cerebrovascular disease affecting left dominant side |
| I69.843 | Monoplegia of lower limb following other cerebrovascular disease affecting right non-dominant side |
| I69.844 | Monoplegia of lower limb following other cerebrovascular disease affecting left non-dominant side |
| I69.849 | Monoplegia of lower limb following other cerebrovascular disease affecting unspecified side |
| I69.861 | Other paralytic syndrome following other cerebrovascular disease affecting right dominant side |
| I69.862 | Other paralytic syndrome following other cerebrovascular disease affecting left dominant side |
| I69.863 | Other paralytic syndrome following other cerebrovascular disease affecting right non-dominant side |
| I69.864 | Other paralytic syndrome following other cerebrovascular disease affecting left non-dominant side |
| I69.865 | Other paralytic syndrome following other cerebrovascular disease, bilateral |
| I69.869 | Other paralytic syndrome following other cerebrovascular disease affecting unspecified side |
| I69.931 | Monoplegia of upper limb following unspecified cerebrovascular disease affecting right dominant side |
| I69.932 | Monoplegia of upper limb following unspecified cerebrovascular disease affecting left dominant side |
| I69.933 | Monoplegia of upper limb following unspecified cerebrovascular disease affecting right non-dominant side |
| I69.934 | Monoplegia of upper limb following unspecified cerebrovascular disease affecting left non-dominant side |
| I69.939 | Monoplegia of upper limb following unspecified cerebrovascular disease affecting unspecified side |
| I69.941 | Monoplegia of lower limb following unspecified cerebrovascular disease affecting right dominant side |
| I69.942 | Monoplegia of lower limb following unspecified cerebrovascular disease affecting left dominant side |
| I69.943 | Monoplegia of lower limb following unspecified cerebrovascular disease affecting right non-dominant side |
| I69.944 | Monoplegia of lower limb following unspecified cerebrovascular disease affecting left non-dominant side |
| I69.949 | Monoplegia of lower limb following unspecified cerebrovascular disease affecting unspecified side |
| I69.961 | Other paralytic syndrome following unspecified cerebrovascular disease affecting right dominant side |
| I69.962 | Other paralytic syndrome following unspecified cerebrovascular disease affecting left dominant side |
| I69.963 | Other paralytic syndrome following unspecified cerebrovascular disease affecting right non-dominant side |
| I69.964 | Other paralytic syndrome following unspecified cerebrovascular disease affecting left non-dominant side |
| I69.965 | Other paralytic syndrome following unspecified cerebrovascular disease, bilateral |
| I69.969 | Other paralytic syndrome following unspecified cerebrovascular disease affecting unspecified side |