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2025 ICD-10-CM code I69.343

Monoplegia of lower limb following cerebral infarction affecting right non-dominant side.

Use additional codes 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.-)tobacco use (Z72.0)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 neurologcial deficit (RIND) (Z86.73) sequelae of traumatic intracranial injury (S06.-)

Medical necessity is established by documenting the presence of monoplegia in the lower limb resulting from the cerebral infarction. This may include physical therapy, occupational therapy, mobility assistive devices, and other supportive care to improve the patient’s functional status.

Clinicians should document the specific lower limb affected, the type of cerebral infarction that caused the monoplegia, and confirm that the right side is the patient’s non-dominant side.

In simple words: Paralysis in one leg after a stroke on the right side of the brain (non-dominant side).

Monoplegia of lower limb following cerebral infarction affecting right non-dominant side. This code specifies that the patient has paralysis in one leg as a result of a stroke (cerebral infarction) impacting the right side of the brain, which is not their dominant side.

Example 1: A patient experiences a cerebral infarction affecting the right non-dominant side of their brain. They develop paralysis in their right lower limb, impacting their mobility and function., Following a stroke in the right side of their brain (non-dominant side), a patient suffers from monoplegia of the left lower limb. They undergo rehabilitation therapy to improve strength and function in the affected leg. , A patient with a history of hypertension presents with sudden onset weakness and loss of function in their right lower limb. An MRI reveals a cerebral infarction affecting the right non-dominant side of the brain, confirming the diagnosis of monoplegia of the right lower limb.

Documentation should include: details of the cerebral infarction event (date, type, location), neurological examination findings confirming monoplegia, identification of the affected lower limb, confirmation of the patient’s dominant side, and any associated functional limitations.

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