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2025 ICD-10-CM code I69.053

Hemiplegia and hemiparesis following a non-traumatic subarachnoid hemorrhage affecting the right non-dominant side.

Use additional codes to identify any comorbidities, such as hypertension (I10-I1A) or tobacco dependence (F17.-).

The medical necessity for this code relates to the ongoing care and treatment required to manage the long-term consequences of the subarachnoid hemorrhage.

Clinicians use this code to document the lasting effects of a subarachnoid hemorrhage.

In simple words: This code indicates that the patient experienced paralysis or weakness on the right side of their body (the non-dominant side), resulting from bleeding in their brain (specifically, a subarachnoid hemorrhage) that was not caused by an injury.

This code describes the long-term effects of a non-traumatic subarachnoid hemorrhage, specifically hemiplegia (paralysis of one side of the body) and hemiparesis (weakness on one side of the body) affecting the right non-dominant side.

Example 1: A patient experiences a subarachnoid hemorrhage. After the initial treatment, they develop persistent weakness and partial paralysis on their right side (non-dominant)., A patient is admitted with a history of a subarachnoid hemorrhage. They exhibit right-sided hemiparesis and hemiplegia as a residual effect., A patient who previously had a subarachnoid hemorrhage is now undergoing rehabilitation for persistent right-sided (non-dominant) hemiplegia and hemiparesis.

Documentation should include the type of sequelae, the specific location of the hemorrhage, laterality (right or left side), and dominance (dominant or non-dominant side). Supporting documentation like neurological examination findings, imaging results (CT, MRI), and progress notes are essential.

** Excludes1: personal history of cerebral infarction without residual deficit (Z86.73), personal history of prolonged reversible ischemic neurologic deficit (PRIND) (Z86.73), personal history of reversible ischemic neurological deficit (RIND) (Z86.73), sequelae of traumatic intracranial injury (S06.-).Use additional code to identify presence of alcohol abuse and dependence (F10.-), exposure to environmental tobacco smoke (Z77.22), history of tobacco dependence (Z87.891), hypertension (I10-I1A), occupational exposure to environmental tobacco smoke (Z57.31), tobacco dependence (F17.-), and tobacco use (Z72.0).

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