2025 ICD-10-CM code I69.349
(Valid) Effective Date: N/A Diseases of the circulatory system - Sequelae of cerebrovascular disease 9 Feed
Monoplegia of lower limb following cerebral infarction affecting unspecified side.
The medical necessity of using this code is determined by the presence of documented monoplegia of the lower limb as a direct consequence of a cerebral infarction. The sequelae must be actively impacting the patient's functional status and requiring medical care or rehabilitation services.
Clinicians should document the specific side affected (right or left) whenever possible, as more specific codes exist for this condition. The documentation should also clarify the type of cerebral infarction (e.g., thrombotic, embolic) and any related conditions such as hypertension or diabetes.
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- I69 - Sequelae of cerebrovascular diseaseI69.3 - Sequelae of cerebral infarctionI69.34 - Monoplegia of lower limb following cerebral infarction
In simple words: Paralysis of one leg after a stroke, with the side not specified.
This code represents a patient's monoplegia (paralysis of a single limb) specifically in their lower limb, resulting from a cerebral infarction (stroke due to blockage of blood supply to the brain). The affected side (right or left) is not specified.
Example 1: A patient presents with paralysis in their right leg following a stroke.The medical record confirms a cerebral infarction. The documentation doesn't specify whether right leg is dominant or not. I69.349 is used as it doesn't specify right or left., A patient experiences a stroke and subsequently develops paralysis in their left leg. Imaging studies show evidence of cerebral infarction. The physician documents "monoplegia of left lower extremity post-CVA". As it is not specified if left is dominant or not, I69.349 is reported., During a rehabilitation visit, a patient exhibits paralysis in one leg after a past stroke event.The discharge summary from the acute hospital stay confirms the stroke was due to a cerebral infarction but does not specify the side or dominance of the affected leg.I69.349 is used in this case.
Documentation should include details of the cerebral infarction, including the date of the event, the type of infarction (if known), the affected lower limb, and the presence of monoplegia.Any associated neurological deficits should also be noted.
** If the patient's paralysis affects the dominant or non-dominant lower extremity, the code would change to I69.341 for dominant or I69.342 for non-dominant. For unspecified side use I69.349. Always query the provider for clarification if the side and dominance of the affected limb are not clearly documented.
- Payment Status: Active
- Specialties:Neurology, Physical Medicine and Rehabilitation, Internal Medicine
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital, Skilled Nursing Facility, Rehabilitation Facility, Office