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2025 ICD-10-CM code I69.83

Monoplegia of upper limb following other cerebrovascular disease. This refers to paralysis affecting only one upper limb as a residual effect of a cerebrovascular event, excluding traumatic intracranial injury.

Do not use this code for paralysis resulting from traumatic intracranial injuries (S06.-).Use additional codes to specify the affected side (right or left) and dominance (dominant or non-dominant) using the appropriate 6th character extensions (.831 - .834, .839).If the sequelae include other neurological deficits in addition to monoplegia, additional codes should be used to capture those conditions.

Medical necessity for this code is established by the presence of a documented cerebrovascular event and the resulting monoplegia of the upper limb, which significantly impairs the patient's functional abilities and requires medical intervention, such as rehabilitation or ongoing care.

Clinicians responsible for diagnosing and managing cerebrovascular diseases and their sequelae, such as neurologists, physiatrists, and primary care physicians, would use this code.Clinical responsibility includes assessing the extent of the monoplegia, providing rehabilitation services, and managing any other related health conditions.

In simple words: Paralysis in one arm following a stroke or other brain blood vessel problem.

Monoplegia of upper limb following other cerebrovascular disease.A condition characterized by paralysis of only one upper limb, resulting from a prior cerebrovascular event other than a traumatic intracranial injury. The cerebrovascular event could include conditions like stroke, aneurysm, or other vascular disorders affecting the brain. This code specifically addresses the long-term consequences or sequelae of such events.

Example 1: A patient experiences a stroke affecting the motor cortex, resulting in persistent paralysis of their right arm. This condition would be coded as I69.83., A patient with a history of a cerebral aneurysm experiences subsequent monoplegia of their left arm. This sequela would be coded as I69.83., A patient has a cerebrovascular accident and develops isolated paralysis of the left upper limb. The long-term effect of this event would be coded using I69.83.

Documentation should clearly establish the presence of monoplegia (paralysis) limited to one upper limb and its causal relationship to a prior cerebrovascular event. Details of the initial cerebrovascular event, such as imaging studies (CT, MRI) and neurological assessments, should be included. Progress notes should document the ongoing functional limitations and any rehabilitation efforts.

** Excludes1: sequelae of traumatic intracranial injury (S06.-)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.-)

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