ICD-10 Coding for Hemiparesis(I69.351)
Complete ICD-10-CM coding and documentation guide for Hemiparesis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hemiparesis
I69.3Primary Range
Sequelae of cerebrovascular disease
This range includes codes for hemiparesis as a sequela of cerebrovascular disease, such as stroke.
Key Information: ICD-10 code for hemiparesis
Essential facts and insights about Hemiparesis
Primary ICD-10-CM Code for hemiparesis
Decision Criteria
clinical Criteria
- Documented right-sided weakness post-stroke with dominance specified
documentation Criteria
- Lack of dominance specification defaults to right as dominant
Applicable To
- Residual right-sided weakness due to previous stroke
Excludes
- Acute cerebrovascular disease (I63.x)
Clinical Validation Requirements
- MRI/CT confirming prior infarction
- Neurological exam documenting right-sided weakness
Code-Specific Risks
- Incorrect dominance documentation
- Lack of temporal relationship to stroke
Coding Notes
- Ensure documentation specifies laterality and dominance for accurate coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits
Z86.73Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Hemiparesis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I69.351.
Impact
Clinical: Inaccurate clinical records., Regulatory: Non-compliance with coding guidelines., Financial: Potential for incorrect billing and reimbursement.
Mitigation Strategy
Use standardized templates., Educate clinicians on documentation importance.
Impact
Reimbursement: Incorrect coding can lead to overpayments or denials., Compliance: Non-compliance with CMS guidelines., Data Quality: Inaccurate patient records and risk adjustment scores.
Mitigation Strategy
Code I69.3xx when weakness is directly tied to prior stroke
Impact
Lack of dominance documentation can lead to audit failures.
Mitigation Strategy
Implement mandatory fields in EHR for dominance.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Hemiparesis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hemiparesis
Use these documentation templates to ensure complete and accurate documentation for Hemiparesis. These templates include all required elements for proper coding and billing.
Chronic hemiparesis post-stroke
Specialty: NeurologyRequired Elements
- Affected side
- Dominance
- Temporal relationship to stroke
- Functional impact
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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