2025 ICD-10-CM code I69.344
(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
Monoplegia of the lower limb following cerebral infarction affecting the left non-dominant side.
Medical necessity is established by the presence of lower limb monoplegia directly attributable to a documented cerebral infarction.The severity of the neurological deficit must warrant the need for rehabilitation services, assistive devices, or other interventions.
Neurologists, physiatrists, and other specialists involved in stroke rehabilitation are typically responsible for diagnosing and managing patients with this condition.The clinical responsibility will vary depending on the severity of the condition and the needs of the patient.
- Diseases of the circulatory system (I00-I99)
- I69.344 is a child code under I69.34 (Monoplegia of lower limb following cerebral infarction) and I69 (Sequelae of cerebrovascular disease).
In simple words: This code describes paralysis in one leg caused by a stroke on the left side of the brain (the non-dominant side).
This code signifies monoplegia (paralysis of one limb) specifically affecting the lower limb, resulting from a cerebral infarction (stroke) in the left non-dominant hemisphere of the brain.It's a sequela code, indicating a condition that arises as a direct consequence of a prior cerebrovascular event.
Example 1: A 65-year-old female experiences a stroke affecting the left non-dominant hemisphere, resulting in left leg paralysis.Physical therapy and occupational therapy interventions are necessary., A 72-year-old male suffers a stroke, leading to right leg weakness and partial paralysis. He requires extensive rehabilitation, including gait training and adaptive equipment., An 80-year-old patient post-stroke exhibits significant lower limb weakness.A comprehensive assessment is required to ascertain the extent of the deficit and recommend appropriate rehabilitative measures. This includes evaluation for potential falls, mobility issues and need for assistive devices.
Detailed medical history of the cerebrovascular event (including imaging reports such as CT scan or MRI showing location and extent of the infarction), neurological examination findings specifically detailing the lower limb motor deficits, documentation of the rehabilitation plan and progress, and any assistive devices or therapies utilized.
** This code is used to report the specific neurological deficit following a cerebral infarction.The physician should document the clinical details supporting the diagnosis of monoplegia and the causal relationship to the stroke. It is crucial to ensure accurate documentation and correct coding to ensure appropriate reimbursement.
- Payment Status: Active
- Specialties:Neurology, Physical Medicine and Rehabilitation, Geriatric Medicine
- Place of Service:Inpatient Hospital, Skilled Nursing Facility, Rehabilitation Facility, Outpatient Rehabilitation Facility, Home Health