ICD-10 Coding for Right-Sided Hemiplegia(I69.351)
Complete ICD-10-CM coding and documentation guide for Right-Sided Hemiplegia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Right-Sided Hemiplegia
I69.3-I69.35Primary Range
Sequelae of cerebrovascular disease
This range includes codes for hemiplegia and hemiparesis following cerebrovascular disease, specifically affecting the right side.
Hemiplegia and hemiparesis
This range includes codes for hemiplegia not specified as due to cerebrovascular disease.
Key Information: ICD-10 code for right-sided hemiplegia
Essential facts and insights about Right-Sided Hemiplegia
Primary ICD-10-CM Code for right sided hemiplegia
Decision Criteria
clinical Criteria
- Presence of right-sided weakness post-stroke with imaging confirmation
documentation Criteria
- Documentation explicitly states 'right dominant hemiplegia'
Applicable To
- Right dominant hemiplegia post-stroke
Excludes
- Nontraumatic right hemiplegia (G81.11)
Clinical Validation Requirements
- CT or MRI showing left hemisphere infarction
- Neurological exam confirming right-sided weakness
Code-Specific Risks
- Misdocumenting as 'weakness' instead of 'hemiparesis'
- Failing to specify dominance
Coding Notes
- Ensure documentation specifies 'hemiplegia' or 'hemiparesis' and confirms right side as dominant.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Personal history of cerebral infarction without residual deficits
Z86.73Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Right nontraumatic hemiplegia
G81.11Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Right-Sided Hemiplegia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code I69.351.
Impact
Clinical: Ambiguity in patient records, Regulatory: Non-compliance with coding standards, Financial: Potential for incorrect billing
Mitigation Strategy
Always confirm and document side dominance, Use templates that prompt for dominance
Impact
Reimbursement: Incorrect coding may lead to lower reimbursement rates., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Ensure documentation uses 'hemiplegia' or 'hemiparesis' for post-stroke conditions.
Impact
Audits may focus on whether dominance is correctly documented.
Mitigation Strategy
Implement documentation checks for dominance in all relevant cases.
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 Right-Sided Hemiplegia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Right-Sided Hemiplegia
Use these documentation templates to ensure complete and accurate documentation for Right-Sided Hemiplegia. These templates include all required elements for proper coding and billing.
Post-Stroke Right Hemiplegia
Specialty: NeurologyRequired Elements
- Detailed motor examination
- Imaging correlation
- Dominance specification
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Right-Sided Hemiplegia? Ask your questions below.