ICD-10 Coding for Paralysis(I69.351, G82.21)
Complete ICD-10-CM coding and documentation guide for Paralysis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Paralysis
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| I69.351 | Hemiplegia and hemiparesis following cerebral infarction affecting right dominant side | Use for residual right dominant hemiplegia post-cerebral infarction. |
|
| G82.21 | Paraplegia, complete | Use for complete paraplegia confirmed by imaging. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for right dominant hemiplegia
Essential facts and insights about Paralysis
Primary ICD-10-CM Codes for paralysis
Decision Criteria
clinical Criteria
- Documented right-sided weakness linked to past stroke
documentation Criteria
- Explicit mention of 'right dominant' in clinical notes
Applicable To
- Right dominant hemiplegia post-cerebral infarction
Excludes
- Acute stroke (I63.x)
Clinical Validation Requirements
- MRI/CT confirming cerebral infarction
- Neurological exam documenting right-sided weakness
Code-Specific Risks
- Incorrect laterality documentation
- Missing causal link to cerebral infarction
Coding Notes
- Ensure documentation specifies laterality and dominance.
G82.21 - Paraplegia, complete
Use for complete paraplegia confirmed by imaging.
Applicable To
- Complete paraplegia
Excludes
- Incomplete paraplegia (G82.22)
Clinical Validation Requirements
- ASIA Impairment Scale rating
- Spinal imaging confirming injury
Coding Notes
Specify completeness and confirm with imaging.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Neurological neglect syndrome
R29.5Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Paralysis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I69.351.
Impact
Clinical: Leads to incomplete patient records., Regulatory: Non-compliance with ICD-10 guidelines., Financial: Potential for denied claims due to insufficient documentation.
Mitigation Strategy
Always document laterality in clinical notes., Use templates to ensure completeness.
Impact
Reimbursement: May lead to incorrect billing and reimbursement issues., Compliance: Non-compliance with coding guidelines., Data Quality: Affects accuracy of patient records.
Mitigation Strategy
Ensure laterality is clearly documented as right or left.
Impact
Reimbursement: Incorrect DRG assignment affecting payment., Compliance: Potential audit risk for incorrect coding., Data Quality: Inaccurate clinical data affecting patient care.
Mitigation Strategy
Verify completeness with clinical and imaging evidence.
Impact
Failure to document laterality can lead to audit issues.
Mitigation Strategy
Use standardized templates to ensure laterality is always documented.
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 Paralysis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Paralysis
Use these documentation templates to ensure complete and accurate documentation for Paralysis. These templates include all required elements for proper coding and billing.
Stroke-related hemiplegia documentation
Specialty: NeurologyRequired Elements
- Laterality
- Dominance
- Causal link to stroke
- Functional status
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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