2025 ICD-10-CM code I69.052
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Cerebrovascular diseases - Hemiplegia and hemiparesis following nontraumatic subarachnoid hemorrhage Diseases of the circulatory system (I00-I99) Feed
Hemiplegia and hemiparesis following a nontraumatic subarachnoid hemorrhage affecting the left dominant side.
The medical necessity for coding I69.052 rests on the established presence of hemiplegia or hemiparesis as a direct consequence of the nontraumatic subarachnoid hemorrhage.The documentation must explicitly demonstrate the causal relationship and justify the diagnosis.
Neurologist, physiatrist, or other appropriate physician specializing in the care of patients with neurological deficits.The physician’s responsibilities include diagnosis, management of symptoms, rehabilitation planning, and ongoing monitoring of the patient’s condition.
- Diseases of the circulatory system (I00-I99)
- I69.05- Hemiplegia and hemiparesis following nontraumatic subarachnoid hemorrhage
In simple words: This code describes the lasting weakness or paralysis on one side of the body after a type of brain bleed (subarachnoid hemorrhage) that wasn't caused by an injury.It's used when the bleed affected the left side of the brain, which is typically the dominant side for most people.
This code classifies hemiplegia (paralysis on one side of the body) and hemiparesis (weakness on one side of the body) as sequelae resulting from a nontraumatic subarachnoid hemorrhage (bleeding in the space between the brain and its surrounding membranes).Specifically, this code is applied when the hemorrhage affects the left dominant side of the brain.The condition is a consequence of the hemorrhage, not the initial event itself.Appropriate documentation should clearly establish the causal link between the hemorrhage and the resulting hemiplegia/hemiparesis.
Example 1: A 60-year-old female patient presents with sudden onset of severe headache, followed by left-sided weakness and paralysis. Imaging reveals a nontraumatic subarachnoid hemorrhage affecting the left dominant hemisphere.I69.052 is used to code the resulting hemiplegia/hemiparesis., A 72-year-old male patient with a history of hypertension experiences a spontaneous subarachnoid hemorrhage.Post-hemorrhage assessment reveals significant left-sided weakness, impacting his dominant hand and leg. I69.052 accurately reflects the sequelae., A 45-year-old patient undergoes surgery for an aneurysm.Post-operative imaging shows a subarachnoid hemorrhage with subsequent left-sided weakness and partial paralysis.I69.052 is appropriate, and additional codes might be used to describe the surgical procedure and aneurysm.
Detailed medical history, neurological examination findings demonstrating hemiplegia or hemiparesis on the left side, neuroimaging (CT scan, MRI) confirming the presence and location of the nontraumatic subarachnoid hemorrhage, and documentation clearly establishing the causal relationship between the hemorrhage and the neurological deficits.
** This code is used to reflect the long-term consequences of a nontraumatic subarachnoid hemorrhage.The severity of hemiplegia or hemiparesis can range from mild weakness to complete paralysis.Rehabilitation interventions may be necessary, and the patient's prognosis depends on several factors, including the extent of the hemorrhage and the patient’s overall health.
- Payment Status: Active
- Specialties:Neurology, Neurosurgery
- Place of Service:Inpatient Hospital, Skilled Nursing Facility, Rehabilitation Facility