2025 ICD-10-CM code I69.25
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Cerebrovascular diseases - Sequelae of cerebrovascular disease Diseases of the circulatory system (I00-I99) Feed
Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage.
Modifiers are not applicable to ICD-10 codes.
Medical necessity for treatment is established through documentation supporting the diagnosis of hemiplegia and hemiparesis resulting from previous intracranial hemorrhage.This includes evidence of functional impairment and the need for ongoing medical management, rehabilitation, or other therapies to improve the patient's functional status and quality of life.The documentation should justify the intensity and duration of rehabilitation and the medical necessity of the services provided.
The clinical responsibility for this diagnosis depends on the specific specialties involved in the patient's care.Neurologists, physiatrists, and other specialists may be involved in diagnosis, treatment, and management of hemiplegia and hemiparesis resulting from nontraumatic intracranial hemorrhage.
In simple words: This code describes weakness or paralysis on one side of the body that's a long-term effect of bleeding inside the skull that wasn't caused by an injury.It's used when the weakness or paralysis is long-lasting and the exact cause isn't specified, or when there is weakness or paralysis without a clear indication of the cause.
This code classifies hemiplegia (complete or incomplete paralysis of one side of the body) and hemiparesis (weakness on one side of the body) as sequelae (lasting effects) of nontraumatic intracranial hemorrhage (bleeding within the skull).It's used when the hemorrhage wasn't caused by trauma and other specified sequelae are not applicable.The code should be used only when hemiplegia or hemiparesis is reported without further specification or is described as old or longstanding, but the cause is unspecified. Multiple coding may be used to identify these types of hemiplegia resulting from any cause.
Example 1: A 70-year-old patient presents with persistent right-sided weakness and paralysis (hemiplegia) six months after an episode of nontraumatic intracranial hemorrhage.The patient has received rehabilitation therapy and continues to experience significant functional limitations. I69.25 is used to code the sequelae of the hemorrhage., A 65-year-old patient experiences a spontaneous intracranial hemorrhage resulting in left-sided hemiparesis.After several weeks of inpatient rehabilitation, the patient's symptoms improve but significant residual weakness remains, necessitating ongoing outpatient physical therapy. I69.25 is used to code the ongoing weakness., A 55-year-old patient is diagnosed with long-standing hemiplegia of unknown etiology.Extensive diagnostic testing, including neuroimaging, fails to pinpoint the cause of the paralysis, however, the patient's symptoms align with this diagnosis. I69.25 is used to code the longstanding condition.
Detailed medical records should include documentation of the initial intracranial hemorrhage, including imaging studies (CT scan, MRI) confirming the hemorrhage.Neurological examination findings documenting the presence and extent of hemiplegia or hemiparesis, including strength and motor function assessments, are required.Progress notes indicating the duration of symptoms and the patient's functional status should be included.
** This code is for the sequelae of nontraumatic intracranial hemorrhage.If the hemorrhage was caused by trauma, a different code should be used.The code should not be used in situations where there is a clear diagnosis of another underlying condition causing the hemiplegia or hemiparesis.
- Revenue Code: Revenue codes will vary depending on the specific services rendered and the payer.
- RVU: RVUs are not directly associated with ICD-10 codes. Reimbursement is determined by various factors, including the specific services provided, place of service, and payer-specific rates.
- Global Days: Not applicable to ICD-10 codes.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes.
- Fee Schedule: Not applicable to ICD-10 codes.
- Specialties:Neurology, physiatry, rehabilitation medicine
- Place of Service:Inpatient Hospital, Outpatient Hospital, Skilled Nursing Facility, Rehabilitation Facility, Office, Home Health