In simple words: This code describes the paralysis (hemiplegia) or weakness (hemiparesis) on one side of the body, specifically the right side, which is the dominant side for most people, occurring as a long-term effect after a stroke or other cerebrovascular event.

Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting right dominant side

Example 1: A patient experiences a stroke with right-sided hemiplegia. After several months of therapy, some motor function returns, but significant weakness (hemiparesis) remains on the right side. This code represents the long-term effects of the stroke., Following a cerebrovascular accident, a right-handed individual develops weakness in the right arm and leg, along with difficulty speaking. I69.951 would be used as it reflects both hemiparesis and the impact on the dominant side., A patient presents with a history of stroke and persistent right-sided hemiparesis, impacting their ability to perform daily activities. This code documents the ongoing sequelae of the cerebrovascular disease affecting the dominant side.

Documentation of the cerebrovascular event's details, including the date of the original event, type of stroke (e.g., ischemic, hemorrhagic), evidence of residual hemiplegia and/or hemiparesis, neurological examination findings, impact on the patient’s dominant side, and functional limitations. Details of ongoing therapies (e.g., physical, occupational, speech) and response to treatment. Any other related health conditions, such as hypertension, should also be documented.

** Excludes1: sequelae of stroke (I69.3) 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.-)