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coding question - what is the code for late effects

  1. Default coding question - what is the code for late effects
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    what is the code for late effects of cva with rt sided weakeness? Should we code 438.20 which is HCC or 438.89?

    thanks
    vj

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    438.20 is the correct code...

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    Quote Originally Posted by vijaybapatla View Post
    what is the code for late effects of cva with rt sided weakeness? Should we code 438.20 which is HCC or 438.89?

    thanks
    vj
    438.20 is for hemiplegia (paralysis of one side of the body), unspecified side. I would not use that for weakness of one side. I would use 438.89 and 728.87, muscle weakness.

    In addition, if it were hemiplegia and you know which side, you shouldn't use 438.20, but 438.21 if dominant side and 438.22 if non-dominant side.

    IMHO.
    Thanks,
    Lucinda (Cindy) McGarry, CPC-P
    Applications Specialist
    Avera Health Plans
    Education Office Sioux Falls SD Local Chapter
    Past President Sioux Falls SD Local Chapter

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