The ICD-10-CM is a catalog of diagnosis codes used by medical professionals for medical coding and reporting in health care settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates.
What is the correct ICD-10-CM code to report the External Cause? Your Answer: V80.010S The External cause code is used for each encounter for which the injury or condition is being treated.
Other specified diseases of gallbladder
If a physician clearly documents that a patient is being seen who has a history of cerebrovascular disease or accident with residual effects, a code from category I69* should be assigned.
I69. 354 - Hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side. ICD-10-CM.
ICD-10 code I69. 354 for Hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side is a medical classification as listed by WHO under the range - Diseases of the circulatory system .
Coding Guidelines Residual neurological effects of a stroke or cerebrovascular accident (CVA) should be documented using CPT category I69 codes indicating sequelae of cerebrovascular disease. Codes I60-67 specify hemiplegia, hemiparesis, and monoplegia and identify whether the dominant or nondominant side is affected.
Other sequelae of cerebral infarction I69. 398 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM I69. 398 became effective on October 1, 2021.
Unspecified sequelae of cerebral infarction The 2022 edition of ICD-10-CM I69. 30 became effective on October 1, 2021.
The codes under I69, Sequelae of Cerebrovascular disease, would be used and with greater specificity such as type of CVA and type of late effect, coders can assign the appropriate code. An example would be I69. 159, Hemiplegia and hemiparesis following non-traumatic intracerebral hemorrhage affecting unspecified side.
Hemiparesis is a mild or partial weakness or loss of strength on one side of the body. Hemiplegia is a severe or complete loss of strength or paralysis on one side of the body. The difference between the two conditions primarily lies in severity.
As the name implies, right hemiparesis is weakness on the right side of the body, while left hemiparesis is weakness on the left side of the body.
Code Sequela of Cerebrovascular Disease/Stroke (ICD-10 code I69*) anytime post a diagnosis of any condition classifiable to ICD-10 codes I60 – I67*. 5. History of Stroke (ICD-10 code Z86. 73) should be used when the patient is being seen in an out patient setting subsequent to an inpatient stay.
When reporting sequela(e), you usually will need to report two codes. The first describes the condition or nature of the sequela(e) and the second describes the sequela(e) or “late effect.” For example, you may report M81.
Hemiplegia and hemiparesis G81-. This category is to be used only when hemiplegia (complete) (incomplete) is reported without further specification, or is stated to be old or longstanding but of unspecified cause.
Less frequently, brain stem lesions; cervical spinal cord diseases; peripheral nervous system diseases; and other conditions may manifest as hemiplegia.
Category I69 is to be used to indicate conditions in I60 - I67 as the cause of sequelae. The 'sequelae' include conditions specified as such or as residuals which may occur at any time after the onset of the causal condition. Type 1 Excludes.
Sequelae of cerebral infarction. Approximate Synonyms. Hemiparesis/hemiplegia (one sided weakness/paralysis) Hemiplegia and hemiparesis of right dominant side as late effect of cerebrovascular accident. Hemiplegia and hemiparesis of right dominant side as late effect of embolic cerebrovascular accident.
In the encoder I put late/effect/CVA/hemiplegia/ unspecified (because it doesn't say whether left side was dominant or not. The code comes up 438.20 and tabular confirms Hemiplegia/hemipararesis (Late effect of CVA).
Go with 438.89. Look at the tip under 438.89 in the ICD-9 expert. Use 728.87 as your secondary code for residual weakness due to CVA.