10-13-2017, 06:03 AM | Community Wiki

Results 1 to 3 of 3

Late effect CVA with Left or Right Hemiparesis

  1. Question Late effect CVA with Left or Right Hemiparesis
    Medical Coding Books
    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!

  2. #2
    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.

  3. #3
    St. Louis West, MO
    Default 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

Similar Threads

  1. Osteopathy as a late effect of poliomyelitis
    By jmdalton in forum Diagnosis Coding
    Replies: 0
    Last Post: 03-17-2014, 02:00 PM
  2. late effect
    By tmcquegge in forum Diagnosis Coding
    Replies: 2
    Last Post: 08-16-2013, 10:41 AM
  3. Dx for late effect premature birth?
    By WKGRAY67 in forum Pediatrics
    Replies: 1
    Last Post: 02-22-2013, 01:19 PM
  4. Can anyone help with Late Effect Guidelines
    By carol52 in forum General Surgery
    Replies: 1
    Last Post: 10-16-2012, 11:04 AM
  5. Late effect codes
    By jessv1910 in forum Diagnosis Coding
    Replies: 1
    Last Post: 02-14-2012, 05:56 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.