The code comes up 438.20 and tabular confirms Hemiplegia/hemipararesis (Late effect of CVA). You must log in or register to reply here.
Code category I69* (Sequelae of cerebrovascular disease) specifies the type of stroke that caused the sequelae (late effect) as well as the residual condition itself.
Ischemic and Unspecified Stroke is often coded inaccurately. Many billers/coders/providers are missing opportunities to show which patients are sicker and are at a higher risk. The ICD-10 stroke codes are more specific and, therefore, require more
Facial weakness following cerebral infarction I69. 392 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. 392 became effective on October 1, 2021.
I documented “left side weakness d/t CVA.” Why did this not risk adjust? “Weakness” is code 728.87 ICD-9, M62. 81 ICD-10, which is NOT A HCC. “Weakness” is a symptom, whereas “paresis” including monoparesis, hemiparesis and even quadriparesis are diagnoses.
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.
I63. 9 - Cerebral infarction, unspecified | ICD-10-CM.
R53. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
351 - Hemiplegia and hemiparesis following cerebral infarction affecting right dominant side.
Code category I69* (Sequelae of cerebrovascular disease) specifies the type of stroke that caused the sequelae (late effect) as well as the residual condition itself.
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.
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.
Stroke Center. A stroke, also referred to as a cerebral vascular accident (CVA) or a brain attack, is an interruption in the flow of blood to cells in the brain. When the cells in the brain are deprived of oxygen, they die.
Hemiplegia, unspecified affecting right dominant side The 2022 edition of ICD-10-CM G81. 91 became effective on October 1, 2021. This is the American ICD-10-CM version of G81.
Obstruction in blood flow (ischemia) to the brain can lead to permanent damage. This is called a cerebrovascular accident (CVA). It is also known as cerebral infarction or stroke. Rupture of an artery with bleeding into the brain (hemorrhage) is called a CVA, too.
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.