Wiki Late effect CVA with Left or Right Hemiparesis

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G
Code: G81.90

Code Name: ICD-10 Code for Hemiplegia, unspecified affecting unspecified side

Block: Cerebral palsy and other paralytic syndromes (G80-G83)

Details: Hemiplegia, unspecified affecting unspecified side

G81

Excludes1: congenital cerebral palsy (G80.-)
hemiplegia and hemiparesis due to sequela of cerebrovascular disease (I69.05-, I69.15-, I69.25-, I69.35-, I69.85-, I69.95-)

Guidelines: Diseases of the nervous system (G00-G99)

Excludes 2: certain conditions originating in the perinatal period (P04-P96)
certain infectious and parasitic diseases (A00-B99)
complications of pregnancy, childbirth and the puerperium (O00-O9A)
congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
endocrine, nutritional and metabolic diseases (E00-E88)
injury, poisoning and certain other consequences of external causes (S00-T88)
neoplasms (C00-D49)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

For more details on G81.90 , ICD-10 Code for Hemiplegia, unspecified affecting unspecified side , visit: https://coder.aapc.com/icd-10-codes/
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Does anyone know if there is a standard side for dominant or non dominant hemiparesis with regard to Late effect CVA? (For example dominant side is Right and nondominant side is Left). Any help would be greatly appreciated!
 

Kimmers

Networker
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Your therapist/clinician's note should include what the patient's dominant side is. Then you can use either of the following codes:

438.22 hemiplegia affecting non-dominant side as late effect of CVA
438.21 hemiplegia affecting dominant side as late effect of CVA

Hope this helps.
 

serhaug

Networker
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St. Louis West, MO
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left/right as it applies to dominant/nondominant side

You cannot assume left or right is dominant or nondominant. After all, if you're right-handed your right side is dominant. But there are an awful lot of us leftys out there, and stating that right side=dominant would be incorrect for us. ;)

You would have to go with the unspecified code unless it expressly indicates dominant or nondominant.

Serine, CPC
 
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