2025 ICD-10-CM code I69.33
(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 upper limb following a cerebral infarction.
Modifiers are not applicable to ICD-10 codes.Modifiers are used with CPT and HCPCS codes to provide additional information about the service or procedure.
Medical necessity for coding I69.33 would be supported by evidence of a prior cerebral infarction and the presence of persistent monoplegia in the upper limb.The need for ongoing medical management, rehabilitation, or supportive care due to the residual deficit justifies the code's application.
The clinical responsibility falls on the physician managing the patient's post-stroke care. This would include assessment of neurological deficits, management of any complications, rehabilitation planning, and ongoing monitoring.The physician also needs to document the clinical findings thoroughly.
- Diseases of the circulatory system (I00-I99)
- I69.33 is part of the broader I69 category, which encompasses sequelae of cerebral infarction.It's further sub-categorized by laterality using a sixth digit.
In simple words: This code describes paralysis in one arm caused by a previous stroke.The doctor will specify which arm is affected.
This code is used to classify monoplegia (paralysis affecting only one limb) of the upper limb that is a sequela (a condition that is a consequence of a previous disease or injury) of a cerebral infarction (stroke).A sixth digit is required to specify laterality (side affected): 1 for right dominant side, 2 for left dominant side, 3 for right non-dominant side, 4 for left non-dominant side, and 9 for unspecified side.
Example 1: A 65-year-old male presents to his physician six months post-cerebral infarction.He exhibits weakness and limited mobility in his right arm.This would be coded as I69.331, specifying the right dominant side., A 72-year-old female has had residual weakness in her left arm following a stroke one year prior.Neurological exam confirms monoplegia affecting the left non-dominant arm, coded as I69.334., An 80-year-old patient presents with monoplegia in one arm, but the records lack information on laterality. This would be documented as I69.339, unspecified laterality.
Comprehensive documentation should include the history of cerebral infarction, neurological exam findings specifically addressing the affected upper limb, and the patient's level of functional impairment. Imaging reports such as CT scans or MRIs confirming the previous infarction are essential.Laterality (left or right side) and dominance (dominant or non-dominant side) must be clearly documented.
** This code reflects the residual effects of a previous cerebral infarction.It is crucial to differentiate between active stroke (I61-I67) and sequelae of stroke (I69).Accurate documentation is essential for appropriate reimbursement.
- Revenue Code: Revenue codes will vary depending on the place of service and specific services rendered.Consult your local payer guidelines.
- RVU: RVUs are not directly associated with ICD-10 codes.Reimbursement is determined by the procedures and services provided, which would be coded using CPT or HCPCS codes. RVUs would then be applied to these procedure codes to calculate payment.
- 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), and internal medicine.
- Place of Service:Office, inpatient hospital, outpatient hospital, rehabilitation facility, skilled nursing facility.