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2025 ICD-10-CM code I69.852

Hemiplegia and hemiparesis following other cerebrovascular disease affecting left dominant side.

Use additional codes to identify any associated conditions, such as hypertension (I10-I1A), tobacco use (Z72.0), or alcohol abuse (F10.-).

The medical necessity for this code is established by the presence of hemiplegia or hemiparesis as a direct result of a prior cerebrovascular event affecting the left dominant side of the brain. Documentation should support the causal relationship between the cerebrovascular disease and the resulting functional impairment.

The physician is responsible for accurately diagnosing the cerebrovascular disease and its sequelae, documenting the patient's functional limitations and impairment, and providing appropriate treatment and rehabilitation services.

In simple words: This code signifies paralysis or weakness on one side of the body resulting from a prior stroke or other cerebrovascular event affecting the left side of the brain, which typically controls language and other essential functions.

Hemiplegia and hemiparesis are conditions characterized by paralysis (hemiplegia) or weakness (hemiparesis) on one side of the body. This specific code indicates that these conditions are a sequela, or after-effect, of other cerebrovascular diseases affecting the left dominant side of the brain.

Example 1: A patient experiences a stroke affecting the left side of the brain and, as a result, develops hemiplegia on the right side of their body. The patient's dominant side is affected., A patient with a history of cerebrovascular disease presents with persistent weakness on one side of the body. After neurological examination and imaging studies, it is confirmed that the left (dominant) side of the brain is affected, leading to hemiparesis on the opposite side., A patient who suffered a previous stroke now exhibits difficulty with speech and motor control on one side of their body, indicating a sequela of the earlier event affecting the dominant (left) hemisphere of the brain.

Documentation should include the type of cerebrovascular disease, the date of the initial event, the affected side of the body, neurological examination findings (including muscle strength and range of motion), and the impact on the patient's daily activities.

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