ICD-10-CM indicates International Classification of Diseases, Tenth Revision, Clinical Modification; ICH, intracerebral hemorrhage; IS, ischemic stroke; NOS, no stroke related diagnosis; PCNASP, Paul Coverdell National Acute Stroke Program; SAH, subarachnoid hemorrhage; SNS, stroke type unspecified; and TIA, transient ischemic attack.
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.
ICD-10-CM Code for Hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side I69. 354.
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.
ICD-10 Code for Hemiplegia and hemiparesis following cerebral infarction affecting right dominant side- I69. 351- Codify by AAPC.
For ischaemic stroke, the main codes are ICD-8 433/434 and ICD-9 434 (occlusion of the cerebral arteries), and ICD-10 I63 (cerebral infarction). Stroke is a heterogeneous disease that is not defined consistently by clinicians or researchers [35].
ICD-10 code R53. 1 for Weakness is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
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.
ICD-10 code I69. 3 for Sequelae of cerebral infarction is a medical classification as listed by WHO under the range - Diseases of the circulatory system .
Coding guidelines state that the late effects (sequelae) caused by a stroke may be present from the onset of a stroke or arise at ANY time after the onset of the stroke. If a patient is NOT EXPERIENCING A CURRENT CEREBROVASCULAR ACCIDENT (CVA) and has no residual or late effect from a previous CVA, Z86.