2025 ICD-10-CM code I69.051
(Active) Effective Date: N/A Diseases of the circulatory system - Cerebrovascular Diseases IX Feed
Hemiplegia and hemiparesis following a non-traumatic subarachnoid hemorrhage affecting the right dominant side.
The medical necessity for this code stems from the need to accurately document the specific neurological deficits resulting from the subarachnoid hemorrhage. This information is crucial for treatment planning, rehabilitation services, and assessment of functional limitations.
Clinicians diagnosing and treating the after-effects of a subarachnoid hemorrhage would utilize this code. This might include neurologists, physiatrists, primary care physicians, or other specialists involved in the patient's care.
In simple words: This code indicates paralysis or weakness on the right side of the body, the dominant side, following bleeding in the brain caused by a ruptured blood vessel. This bleeding was not due to an injury.
This code specifies that the patient is experiencing hemiplegia (paralysis of one side of the body) or hemiparesis (weakness on one side of the body) as a consequence of a non-traumatic subarachnoid hemorrhage.The affected side is the right, which is also the patient's dominant side.
Example 1: A patient experiences a sudden, severe headache. Imaging reveals a subarachnoid hemorrhage. Following the initial treatment, the patient develops weakness and partial paralysis on their right side, impacting their ability to write and perform other tasks. This scenario necessitates the use of I69.051 as it describes the specific sequelae (hemiplegia/hemiparesis) related to the non-traumatic subarachnoid hemorrhage affecting the dominant right side., A patient with a history of hypertension presents with sudden onset of right-sided weakness.Diagnostic imaging confirms a subarachnoid hemorrhage. The patient's right side is dominant, and the weakness includes their arm and leg, indicating hemiparesis. The appropriate code is I69.051., An individual undergoes a surgical clipping of a brain aneurysm and subsequently develops right-sided hemiparesis. While there was a surgical intervention, the subarachnoid hemorrhage itself wasn't directly caused by trauma. The hemiparesis affects the patient's dominant right side. In this case, I69.051 is applicable.
Documentation should include details of the subarachnoid hemorrhage, neurological examination findings describing the hemiplegia or hemiparesis, imaging reports confirming the hemorrhage, and an indication of the patient's dominant side.Any associated conditions like hypertension should also be documented.
** The 7th character specifies laterality (right or left) and dominance. This code captures the specific functional impairment resulting from the subarachnoid hemorrhage and facilitates appropriate management and resource allocation.
- Payment Status: Active
- Specialties:Neurology, Physical Medicine and Rehabilitation, Internal Medicine
- Place of Service:Inpatient Hospital, Skilled Nursing Facility, Rehabilitation Facility, Outpatient Hospital