2025 ICD-10-CM code I69.952
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the circulatory system - Sequelae of cerebrovascular disease Diseases of the circulatory system (I00-I99) Feed
Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting the left dominant side.
Not applicable to ICD-10 codes. Modifiers apply to CPT and HCPCS codes.
Medical necessity is established by the presence of hemiplegia or hemiparesis secondary to a cerebrovascular event that requires medical management, rehabilitation, or ongoing monitoring.
The clinical responsibility involves diagnosing the cerebrovascular event and its resulting hemiplegia or hemiparesis.This includes neurological examination, imaging studies (such as CT or MRI), and possibly other diagnostic tests.Ongoing management may include physical therapy, occupational therapy, and speech therapy.
- Diseases of the circulatory system (I00-I99)
- I69.95 (Hemiplegia and hemiparesis following unspecified cerebrovascular disease)
In simple words: This code is used when someone has weakness or paralysis on one side of their body after a stroke or other problem with blood flow to the brain.Specifically, this code applies when the left side of the body is affected, and that side of the brain is the dominant side (usually controlling speech and movement).
This code classifies hemiplegia (paralysis of one side of the body) and hemiparesis (weakness of one side of the body) as sequelae (late effects) of an unspecified cerebrovascular disease.The specification "affecting the left dominant side" indicates the paralysis or weakness is on the left side of the body, and that the left side of the brain (typically the dominant hemisphere for language and motor skills) was affected by the cerebrovascular event.
Example 1: A 65-year-old patient presents with sudden onset of left-sided weakness and paralysis following a confirmed ischemic stroke affecting the left cerebral hemisphere.I69.952 is assigned., A 72-year-old patient with a history of hypertension experiences a hemorrhagic stroke, resulting in left-sided hemiplegia and aphasia.I69.952 is used along with codes specifying the type of stroke and the aphasia., An 80-year-old patient with a history of atrial fibrillation presents with gradual onset of left-sided weakness, diagnosed as a lacunar infarct. I69.952 is utilized in conjunction with other appropriate codes specifying the etiology of the cerebrovascular event.
Complete neurological examination documenting the presence and extent of hemiplegia/hemiparesis.Imaging studies (CT scan, MRI) confirming the cerebrovascular event and its location (left hemisphere).Documentation of the patient's history, including risk factors (hypertension, diabetes, atrial fibrillation, etc.).Any other relevant diagnostic findings.Therapy notes (physical therapy, occupational therapy, speech therapy) documenting the patient's progress and level of functional impairment.
** This code is used for reporting the sequelae of a cerebrovascular event.It's crucial to code the underlying cerebrovascular disease as well (e.g., I61, I62, I63, I64, I65, I66, I67, I68, I69.8, I69.9).
- Revenue Code: Revenue codes will vary depending on the specific services rendered and the payer.Consult your payer's guidelines for appropriate revenue codes.
- RVU: RVUs are not directly associated with ICD-10 codes. RVUs are associated with CPT codes, and reimbursement depends on various factors including place of service, payer, and modifiers.
- Global Days: Not applicable to ICD-10 codes. Global periods are associated with surgical CPT codes.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes.
- Fee Schedule: Not applicable to ICD-10 codes. Fee schedules are related to CPT and HCPCS codes.
- Specialties:Neurology, Neurosurgery, Internal Medicine, Geriatric Medicine, Rehabilitation Medicine
- Place of Service:Inpatient Hospital, Outpatient Hospital, Skilled Nursing Facility, Rehabilitation Facility, Home Health