Home Health ICD-9/ICD-10 Alert
Reader Questions:
Look to Late Effects for CVA
Published on Fri Oct 03, 2008 
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Question: Our patient had a cerebrovascular accident with right-sided hemiparesis. He has right-side weakness (he is right-sided dominant), aphasia, and has experienced frequent falls. We are providing physical therapy, occupational therapy, and speech therapy. How should I code for him? -- Kentucky Subscriber Answer: Code for CVAs with late-effect codes. In your patient's case, list: • M0230a: 438.21 (Late effects of cerebrovascular disease; hemiplegia affecting dominant side); • M0240b: 438.11 (Late effects of cerebrovascular disease; aphasia); and • M0240c: V15.88 (History of fall). Don't code the weakness separately because it's integral to the hemiparesis/hemiplegia.
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