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ICD-10 Coding for Left Leg Weakness(I69.352, M62.832)

Complete ICD-10-CM coding and documentation guide for Left Leg Weakness. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Left Lower Limb WeaknessLeft Leg Paresis

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Related ICD-10 Code Ranges

Complete code families applicable to Left Leg Weakness

I69.35-I69.39Primary Range

Sequelae of cerebrovascular disease

Used for coding residual effects of cerebrovascular accidents affecting the left leg.

M62.8

Other specified disorders of muscle

Used for coding non-neurological muscle weakness.

G83.1-G83.4

Other paralytic syndromes

Used for coding neurological causes of paralysis affecting the left leg.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
I69.352Monoplegia of lower limb following cerebral infarction affecting non-dominant sideUse when left leg weakness is a sequela of a cerebral infarction affecting the non-dominant side.
  • MRI or CT evidence of cerebral infarction
  • Clinical documentation of left leg weakness
M62.832Muscle weakness (generalized), left legUse for non-neurological causes of left leg weakness.
  • Physical exam showing muscle weakness
  • Exclusion of neurological causes

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 left leg weakness

Essential facts and insights about Left Leg Weakness

The ICD-10 code for left leg weakness due to a stroke is I69.352 for non-dominant side involvement.

Primary ICD-10-CM Codes for left leg weakness

I69.352
Monoplegia of lower limb following cerebral infarction affecting non-dominant side
Billable Code

Decision Criteria

clinical Criteria

  • Confirmed history of stroke with residual left leg weakness

documentation Criteria

  • Documentation of non-dominant side involvement

Applicable To

  • Left leg weakness post-stroke

Excludes

Clinical Validation Requirements

  • MRI or CT evidence of cerebral infarction
  • Clinical documentation of left leg weakness

Code-Specific Risks

  • Incorrectly assuming dominance without documentation

Coding Notes

  • Ensure documentation specifies laterality and dominance.
View Full Code Details

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Generalized weakness

R53.1
Use when no specific cause of weakness is identified.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Localized muscle weakness, left leg

M62.832
Use M62.832 for non-neurological muscle weakness without a history of stroke.

Monoplegia of lower limb following cerebral infarction

I69.352
Use I69.352 if weakness is due to a prior stroke.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Left Leg Weakness to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I69.352.

Impact

Clinical: Inaccurate clinical assessment, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials

Mitigation Strategy

Always document laterality in clinical notes, Review documentation for completeness

Impact

Reimbursement: May lead to claim denials, Compliance: Non-compliance with ICD-10 guidelines, Data Quality: Inaccurate clinical data representation

Mitigation Strategy

Use I69.35- series for post-stroke weakness

Impact

Failure to document laterality can lead to coding errors.

Mitigation Strategy

Implement a checklist for documentation completeness.

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 Left Leg Weakness, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Left Leg Weakness

Use these documentation templates to ensure complete and accurate documentation for Left Leg Weakness. These templates include all required elements for proper coding and billing.

Left leg weakness post-stroke

Specialty: Neurology

Required Elements

  • Patient history of stroke
  • Clinical findings of left leg weakness
  • Imaging results confirming stroke

Example Documentation

Patient presents with left leg weakness following a stroke. MRI confirms right MCA infarct. Document as I69.352.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Weakness in left leg.
Good Documentation Example
Left leg monoparesis with 3/5 strength, dominant side affected, secondary to CVA (confirmed by MRI).
Explanation
The good example provides specific clinical details and links the weakness to a prior CVA.

Need help with ICD-10 coding for Left Leg Weakness? Ask your questions below.

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