Expand


Go Back   AAPC Forum > Medical Coding > Diagnosis Coding
Forum Rules FAQ Members List Calendar Search Today's Posts Mark Forums Read

Reply
 
Thread Tools
  #1  
Old 04-30-2010, 06:40 AM
jbaltimore jbaltimore is offline
New
 
Join Date: Apr 2007
Posts: 9
jbaltimore is on a distinguished road
Question Late effect CVA with Left or Right Hemiparesis

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!
Reply With Quote
  #2  
Old 05-12-2010, 03:29 PM
Kimmers's Avatar
Kimmers Kimmers is offline
Networker
 
Join Date: Apr 2007
Posts: 61
Kimmers is on a distinguished road
Default

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.
Reply With Quote
  #3  
Old 05-19-2010, 07:59 AM
serhaug serhaug is offline
Networker
 
Join Date: Apr 2007
Location: St. Louis West, MO
Posts: 29
serhaug is on a distinguished road
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
Reply With Quote
Reply

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off




Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

All times are GMT -6. The time now is 09:04 PM.


Powered by vBulletin® Version 3.8.1
Copyright ©2000 - 2015, Jelsoft Enterprises Ltd.
Copyright ?2015, AAPC