Assesment: CVA with left sided weakness (unspecified dominant or nondominate sided) By definition, hemiparesis = weakness, therefore I would conclude that the correct code would be 438.20 (late effect of CVA with hemiparesis/hemiplegia). There are many debates, with out a concise direction, for this code I would appreciate some guidance, please
Assign code 438.89, Other late effects of cerebrovascular disease and code 728.87, Muscle weakness, for residual muscle weakness secondary to late effect of cerebrovascular accident." thank you! I just had this same DX. In the encoder I put late/effect/CVA/hemiplegia/ unspecified (because it doesn't say whether left side was dominant or not.
What is the appropriate code assignment for residual weakness that is a late effect of CVA? Assign code 438.89, Other late effects of cerebrovascular disease and code 728.87, Muscle weakness, for residual muscle weakness secondary to late effect of cerebrovascular accident."
The code comes up 438.20 and tabular confirms Hemiplegia/hemipararesis (Late effect of CVA). You must log in or register to reply here.
Cognitive deficits following cerebral infarction The 2022 edition of ICD-10-CM I69. 31 became effective on October 1, 2021. This is the American ICD-10-CM version of I69. 31 - other international versions of ICD-10 I69.
When a patient has a history of cerebrovascular disease without any sequelae or late effects, ICD-10 code Z86. 73 should be assigned.
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.
I69. 354 - Hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side | ICD-10-CM.
Hemiplegia, unspecified affecting left nondominant side The 2022 edition of ICD-10-CM G81. 94 became effective on October 1, 2021. This is the American ICD-10-CM version of G81.
A sequela code is for complications or conditions that arise as a direct result of a condition or injury. Examples include joint contracture after a tendon injury, hemiplegia after a stroke or scar formation following a burn. The sequela code should be primary and followed by the injury/condition code.
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.
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.
Hemiplegia and hemiparesis of left nondominant side as late effect of cerebrovascular accident
The 2022 edition of ICD-10-CM I69.354 became effective on October 1, 2021.