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2025 ICD-10-CM code I69.351

Hemiplegia and hemiparesis following cerebral infarction affecting right dominant side.

It's crucial to differentiate between the acute phase of a stroke and the sequelae. This code is specifically for the lasting effects of the stroke, not the initial event itself.

Medical necessity is established by documenting the functional limitations resulting from the hemiplegia and hemiparesis.

Clinicians should assess and document the extent of the hemiplegia and hemiparesis, along with any other residual effects of the stroke.

IMPORTANT:For sequelae of cerebral infarction not affecting the right dominant side, other codes like I69.354 should be considered.

In simple words: This code indicates that the patient has paralysis and weakness on one side of their body following a stroke that affected the right side of their brain, which is the dominant side for most bodily functions.

This code signifies a patient experiencing both hemiplegia (paralysis of one side of the body) and hemiparesis (weakness on one side of the body) as a consequence of a cerebral infarction (stroke) affecting the right side of the brain, which is also their dominant side.

Example 1: A patient who suffered a stroke affecting the right side of their brain now experiences weakness and paralysis on the left side of their body, impacting their mobility and daily activities., A patient has complete paralysis of the left leg and partial paralysis of the left arm after a stroke on the right side of their brain, which is their dominant side. This significantly impacts their ability to walk and perform tasks with their left hand., A patient who previously had a stroke on the right (dominant) side of their brain now exhibits decreased motor strength and control in their left arm and leg, affecting their ability to carry objects and maintain balance while walking.

Documentation should include detailed neurological examination findings, the location and extent of the cerebral infarction, and how these deficits affect the patient's functional abilities.

** For ambidextrous patients, the right side is considered dominant by default in cases of right-side stroke.

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