2025 ICD-10-CM code I69.853
(Active) Effective Date: N/A Cerebrovascular diseases - Diseases of the circulatory system 9 Feed
Hemiplegia and hemiparesis following other cerebrovascular disease affecting right non-dominant side.
Medical necessity for this code hinges on demonstrating the ongoing impact of the cerebrovascular disease on the patient's functional status. This includes documenting the need for ongoing medical care, therapies, or assistive devices due to the hemiplegia/hemiparesis.
Assessment of neurological deficits, determining the extent of the hemiplegia/hemiparesis, managing ongoing symptoms, and providing or referring to appropriate rehabilitation therapies.
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- I69.85 Hemiplegia and hemiparesis following other cerebrovascular diseaseI69.8 Other paralytic syndromes following other cerebrovascular diseaseI69 Sequelae of cerebrovascular diseaseI60-I69 Cerebrovascular diseasesI00-I99 Diseases of the circulatory system
In simple words: This code describes the lasting weakness or paralysis on the right side of the body (the non-dominant side), resulting from a stroke or other circulatory problem in the brain. It's used to document the ongoing condition after the initial event.
Hemiplegia and hemiparesis following other cerebrovascular disease affecting right non-dominant side. This code is used to describe the long-term effects (sequelae) of a cerebrovascular event, other than a cerebral infarction, nontraumatic subarachnoid hemorrhage, or other nontraumatic intracranial hemorrhage, resulting in weakness or paralysis on one side of the body. Specifically, it indicates that the right side of the body (which is non-dominant) is affected.
Example 1: A patient experiences a stroke due to a blocked artery (cerebral infarction) in the left side of their brain, resulting in right-sided hemiparesis. After the acute phase of the stroke, they continue to experience weakness on their right side. This ongoing condition is coded as I69.853., A patient has a cerebrovascular accident (CVA) of unspecified cause, leading to right-sided hemiplegia. Months later, the patient continues to experience paralysis on their right side. This condition is coded as I69.853., A patient develops a cerebral aneurysm that ruptures, causing a subarachnoid hemorrhage. Following the initial treatment, the patient experiences persistent hemiparesis on their right side. This condition is coded as I69.853.
Documentation should support that the hemiplegia/hemiparesis is a direct result of a previous cerebrovascular event. Detailed neurological examination findings, including muscle strength assessments, range of motion, and functional limitations, are crucial. Imaging studies, such as CT or MRI scans, from the initial cerebrovascular event should be available. Progress notes should reflect the ongoing impact on the patient's daily activities and any rehabilitation efforts.
** It is crucial to distinguish between the acute phase of a cerebrovascular event and its long-term effects. This code specifically addresses the sequelae, the lasting effects of the cerebrovascular disease, rather than the initial event itself. Ensure thorough documentation that connects the hemiplegia/hemiparesis to the prior event.
- Payment Status: Active
- Specialties:Neurology, Physical Medicine and Rehabilitation, Internal Medicine, Family Medicine.
- Place of Service:Inpatient Hospital, Skilled Nursing Facility, Rehabilitation Facility, Outpatient Hospital, Office, Home Health.