2025 ICD-10-CM code I69.34
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Cerebrovascular diseases - Sequelae of cerebral infarction Diseases of the circulatory system (I00-I99) Feed
Monoplegia of the lower limb following a cerebral infarction.
Modifiers may be necessary to specify the place of service, type of service, or other relevant details depending on payer requirements.
The medical necessity for treatment is established by the presence of the lower limb monoplegia resulting from a verified cerebral infarction.Rehabilitation services, such as physical therapy and occupational therapy, are medically necessary to improve function and quality of life.
Neurologists, physiatrists, and other specialists involved in stroke care and rehabilitation are responsible for assessing and managing patients with this condition.
- Diseases of the circulatory system (I00-I99)
- I69.34 is part of the broader category I69 (Sequelae of cerebrovascular disease), which itself falls under chapter IX (Diseases of the circulatory system).
In simple words: This code means that a person has paralysis in one leg because of a stroke. The stroke caused lasting damage to the brain.
This code, I69.34, signifies monoplegia (paralysis affecting only one limb) of the lower limb as a consequence of a cerebral infarction (stroke caused by a blockage of blood flow to the brain).It indicates a lasting neurological deficit following the stroke event.Additional codes may be necessary to specify the affected side (dominant or non-dominant) and any associated conditions.
Example 1: A 65-year-old patient presents with right leg paralysis following a left cerebral infarction.The stroke occurred three months prior, and the patient displays significant residual weakness.I69.34 is used along with codes specifying the affected side. , A 72-year-old patient experiences a stroke, resulting in left leg paralysis.Physical therapy is initiated and progress is monitored.I69.34 will be used to document the long-term neurological sequela., An 80-year-old patient with a history of hypertension suffers a stroke leading to paralysis in their right leg and requiring extensive rehabilitation. The I69.34 code reflects the lower limb monoplegia, while additional codes detail hypertension and affected side.
Detailed neurological examination documenting the presence of monoplegia, imaging reports (CT or MRI) confirming the cerebral infarction, and medical records indicating the timeline of events are essential for accurate coding.
** Careful clinical documentation is critical for accurate coding.The use of additional codes to clarify the affected side and presence of other comorbidities is essential for appropriate reimbursement.
- Payment Status: Active
- Specialties:Neurology, physiatry, rehabilitation medicine
- Place of Service:Inpatient Hospital, Skilled Nursing Facility, Rehabilitation Facility, Outpatient Hospital, Office