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254 HCC

Monoplegia, Other Paralytic Syndromes

CMS Model V28 119 Associated ICD-10 Diagnoses

Relative Risk Score Factors (Coefficients for HCC 254)

Enrollment Model Type Coeff Tag Year Weight Score
CFA HCC254 2026 + 0.292
CFD HCC254 2026 + 0.365
CNA HCC254 2026 + 0.321
CND HCC254 2026 + 0.172
CPA HCC254 2026 + 0.290
CPD HCC254 2026 + 0.335
INS HCC254 2026 + 0.000

Mapped ICD-10-CM Diagnoses (119)

The following diagnoses map directly to HCC 254 under the V28 risk adjustment model:

ICD-10 Code Clinical Diagnosis Description Guideline
G83.0 Diplegia of upper limbs Notes ↗
G83.10 Monoplegia of lower limb affecting unspecified side Notes ↗
G83.11 Monoplegia of lower limb affecting right dominant side Notes ↗
G83.12 Monoplegia of lower limb affecting left dominant side Notes ↗
G83.13 Monoplegia of lower limb affecting right nondominant side Notes ↗
G83.14 Monoplegia of lower limb affecting left nondominant side Notes ↗
G83.20 Monoplegia of upper limb affecting unspecified side Notes ↗
G83.21 Monoplegia of upper limb affecting right dominant side Notes ↗
G83.22 Monoplegia of upper limb affecting left dominant side Notes ↗
G83.23 Monoplegia of upper limb affecting right nondominant side Notes ↗
G83.24 Monoplegia of upper limb affecting left nondominant side Notes ↗
G83.30 Monoplegia, unspecified affecting unspecified side Notes ↗
G83.31 Monoplegia, unspecified affecting right dominant side Notes ↗
G83.32 Monoplegia, unspecified affecting left dominant side Notes ↗
G83.33 Monoplegia, unspecified affecting right nondominant side Notes ↗
G83.34 Monoplegia, unspecified affecting left nondominant side Notes ↗
G83.5 Locked-in state Notes ↗
G83.81 Brown-Sequard syndrome Notes ↗
G83.82 Anterior cord syndrome Notes ↗
G83.83 Posterior cord syndrome Notes ↗
G83.84 Todd's paralysis (postepileptic) Notes ↗
G83.89 Other specified paralytic syndromes Notes ↗
G83.9 Paralytic syndrome, unspecified Notes ↗
I69.031 Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting right dominant side Notes ↗
I69.032 Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting left dominant side Notes ↗
I69.033 Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting right non-dominant side Notes ↗
I69.034 Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting left non-dominant side Notes ↗
I69.039 Monoplegia of upper limb following nontraumatic subarachnoid hemorrhage affecting unspecified side Notes ↗
I69.041 Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting right dominant side Notes ↗
I69.042 Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting left dominant side Notes ↗
I69.043 Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting right non-dominant side Notes ↗
I69.044 Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting left non-dominant side Notes ↗
I69.049 Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage affecting unspecified side Notes ↗
I69.061 Other paralytic syndrome following nontraumatic subarachnoid hemorrhage affecting right dominant side Notes ↗
I69.062 Other paralytic syndrome following nontraumatic subarachnoid hemorrhage affecting left dominant side Notes ↗
I69.063 Other paralytic syndrome following nontraumatic subarachnoid hemorrhage affecting right non-dominant side Notes ↗
I69.064 Other paralytic syndrome following nontraumatic subarachnoid hemorrhage affecting left non-dominant side Notes ↗
I69.065 Other paralytic syndrome following nontraumatic subarachnoid hemorrhage, bilateral Notes ↗
I69.069 Other paralytic syndrome following nontraumatic subarachnoid hemorrhage affecting unspecified side Notes ↗
I69.131 Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting right dominant side Notes ↗
I69.132 Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting left dominant side Notes ↗
I69.133 Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting right non-dominant side Notes ↗
I69.134 Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting left non-dominant side Notes ↗
I69.139 Monoplegia of upper limb following nontraumatic intracerebral hemorrhage affecting unspecified side Notes ↗
I69.141 Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting right dominant side Notes ↗
I69.142 Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting left dominant side Notes ↗
I69.143 Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting right non-dominant side Notes ↗
I69.144 Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting left non-dominant side Notes ↗
I69.149 Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting unspecified side Notes ↗
I69.161 Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting right dominant side Notes ↗
I69.162 Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting left dominant side Notes ↗
I69.163 Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting right non-dominant side Notes ↗
I69.164 Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting left non-dominant side Notes ↗
I69.165 Other paralytic syndrome following nontraumatic intracerebral hemorrhage, bilateral Notes ↗
I69.169 Other paralytic syndrome following nontraumatic intracerebral hemorrhage affecting unspecified side Notes ↗
I69.231 Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting right dominant side Notes ↗
I69.232 Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting left dominant side Notes ↗
I69.233 Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting right non-dominant side Notes ↗
I69.234 Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting left non-dominant side Notes ↗
I69.239 Monoplegia of upper limb following other nontraumatic intracranial hemorrhage affecting unspecified side Notes ↗
I69.241 Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting right dominant side Notes ↗
I69.242 Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting left dominant side Notes ↗
I69.243 Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting right non-dominant side Notes ↗
I69.244 Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting left non-dominant side Notes ↗
I69.249 Monoplegia of lower limb following other nontraumatic intracranial hemorrhage affecting unspecified side Notes ↗
I69.261 Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting right dominant side Notes ↗
I69.262 Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting left dominant side Notes ↗
I69.263 Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting right non-dominant side Notes ↗
I69.264 Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting left non-dominant side Notes ↗
I69.265 Other paralytic syndrome following other nontraumatic intracranial hemorrhage, bilateral Notes ↗
I69.269 Other paralytic syndrome following other nontraumatic intracranial hemorrhage affecting unspecified side Notes ↗
I69.331 Monoplegia of upper limb following cerebral infarction affecting right dominant side Notes ↗
I69.332 Monoplegia of upper limb following cerebral infarction affecting left dominant side Notes ↗
I69.333 Monoplegia of upper limb following cerebral infarction affecting right non-dominant side Notes ↗
I69.334 Monoplegia of upper limb following cerebral infarction affecting left non-dominant side Notes ↗
I69.339 Monoplegia of upper limb following cerebral infarction affecting unspecified side Notes ↗
I69.341 Monoplegia of lower limb following cerebral infarction affecting right dominant side Notes ↗
I69.342 Monoplegia of lower limb following cerebral infarction affecting left dominant side Notes ↗
I69.343 Monoplegia of lower limb following cerebral infarction affecting right non-dominant side Notes ↗
I69.344 Monoplegia of lower limb following cerebral infarction affecting left non-dominant side Notes ↗
I69.349 Monoplegia of lower limb following cerebral infarction affecting unspecified side Notes ↗
I69.361 Other paralytic syndrome following cerebral infarction affecting right dominant side Notes ↗
I69.362 Other paralytic syndrome following cerebral infarction affecting left dominant side Notes ↗
I69.363 Other paralytic syndrome following cerebral infarction affecting right non-dominant side Notes ↗
I69.364 Other paralytic syndrome following cerebral infarction affecting left non-dominant side Notes ↗
I69.365 Other paralytic syndrome following cerebral infarction, bilateral Notes ↗
I69.369 Other paralytic syndrome following cerebral infarction affecting unspecified side Notes ↗
I69.831 Monoplegia of upper limb following other cerebrovascular disease affecting right dominant side Notes ↗
I69.832 Monoplegia of upper limb following other cerebrovascular disease affecting left dominant side Notes ↗
I69.833 Monoplegia of upper limb following other cerebrovascular disease affecting right non-dominant side Notes ↗
I69.834 Monoplegia of upper limb following other cerebrovascular disease affecting left non-dominant side Notes ↗
I69.839 Monoplegia of upper limb following other cerebrovascular disease affecting unspecified side Notes ↗
I69.841 Monoplegia of lower limb following other cerebrovascular disease affecting right dominant side Notes ↗
I69.842 Monoplegia of lower limb following other cerebrovascular disease affecting left dominant side Notes ↗
I69.843 Monoplegia of lower limb following other cerebrovascular disease affecting right non-dominant side Notes ↗
I69.844 Monoplegia of lower limb following other cerebrovascular disease affecting left non-dominant side Notes ↗
I69.849 Monoplegia of lower limb following other cerebrovascular disease affecting unspecified side Notes ↗
I69.861 Other paralytic syndrome following other cerebrovascular disease affecting right dominant side Notes ↗
I69.862 Other paralytic syndrome following other cerebrovascular disease affecting left dominant side Notes ↗
I69.863 Other paralytic syndrome following other cerebrovascular disease affecting right non-dominant side Notes ↗
I69.864 Other paralytic syndrome following other cerebrovascular disease affecting left non-dominant side Notes ↗
I69.865 Other paralytic syndrome following other cerebrovascular disease, bilateral Notes ↗
I69.869 Other paralytic syndrome following other cerebrovascular disease affecting unspecified side Notes ↗
I69.931 Monoplegia of upper limb following unspecified cerebrovascular disease affecting right dominant side Notes ↗
I69.932 Monoplegia of upper limb following unspecified cerebrovascular disease affecting left dominant side Notes ↗
I69.933 Monoplegia of upper limb following unspecified cerebrovascular disease affecting right non-dominant side Notes ↗
I69.934 Monoplegia of upper limb following unspecified cerebrovascular disease affecting left non-dominant side Notes ↗
I69.939 Monoplegia of upper limb following unspecified cerebrovascular disease affecting unspecified side Notes ↗
I69.941 Monoplegia of lower limb following unspecified cerebrovascular disease affecting right dominant side Notes ↗
I69.942 Monoplegia of lower limb following unspecified cerebrovascular disease affecting left dominant side Notes ↗
I69.943 Monoplegia of lower limb following unspecified cerebrovascular disease affecting right non-dominant side Notes ↗
I69.944 Monoplegia of lower limb following unspecified cerebrovascular disease affecting left non-dominant side Notes ↗
I69.949 Monoplegia of lower limb following unspecified cerebrovascular disease affecting unspecified side Notes ↗
I69.961 Other paralytic syndrome following unspecified cerebrovascular disease affecting right dominant side Notes ↗
I69.962 Other paralytic syndrome following unspecified cerebrovascular disease affecting left dominant side Notes ↗
I69.963 Other paralytic syndrome following unspecified cerebrovascular disease affecting right non-dominant side Notes ↗
I69.964 Other paralytic syndrome following unspecified cerebrovascular disease affecting left non-dominant side Notes ↗
I69.965 Other paralytic syndrome following unspecified cerebrovascular disease, bilateral Notes ↗
I69.969 Other paralytic syndrome following unspecified cerebrovascular disease affecting unspecified side Notes ↗
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