2025 ICD-10-CM code I69.851
(Active) Effective Date: N/A Revision Date: N/A Diseases of the circulatory system - Sequelae of cerebrovascular disease 9 Feed
Hemiplegia and hemiparesis following other cerebrovascular disease affecting right dominant side.
Medical necessity must be established by demonstrating the causal relationship between the previous cerebrovascular disease and the current hemiplegia or hemiparesis, and by documenting the impact on the patient's function and quality of life.
Clinicians using this code are responsible for accurately documenting the patient's condition, linking the current hemiplegia or hemiparesis to a previous cerebrovascular event. They should also detail the impact of the condition on the patient's dominant side and overall functional abilities.
In simple words: This code signifies paralysis or weakness on the right side of the body (the dominant side for most right-handed individuals), resulting from a previous, non-traumatic stroke or other circulatory system problem affecting the brain.
This code describes the long-term effects of a cerebrovascular event, specifically hemiplegia (paralysis on one side of the body) or hemiparesis (weakness on one side of the body), affecting a patient's right dominant side.It indicates that the condition is a sequela (residual effect) of a prior cerebrovascular disease, other than a subarachnoid hemorrhage or a stroke of unspecified origin.
Example 1: A patient experiences a stroke affecting the right side of the brain, resulting in left-sided hemiparesis several months later.The patient is right-hand dominant, and the weakness significantly impacts their ability to perform daily tasks.I69.851 would be used to code the lasting hemiparesis, indicating the right-side dominance., A patient with a history of cerebrovascular disease develops right-sided hemiplegia following a recent event classified as "other cerebrovascular disease." The patient is right-hand dominant, and the paralysis severely restricts their activities. The code I69.851 is used to document the hemiplegia and its impact on their dominant side., A patient who previously suffered from a cerebral infarction now experiences weakness on the right side of their body.They are right-handed, and the weakness affects their hand dexterity.Since the infarction falls under "other cerebrovascular disease," the hemiparesis is coded as I69.851, acknowledging the right dominant side.
Documentation should clearly link the hemiplegia or hemiparesis to the prior cerebrovascular disease.It should also specify the affected side as the right dominant side, and detail the severity of the condition and its functional impact on the patient.
- Payment Status: Active
- Specialties:Neurology, Physical Medicine and Rehabilitation, Internal Medicine
- Place of Service:Inpatient Hospital, Skilled Nursing Facility, Rehabilitation Facility, Outpatient Hospital