ICD-10 Coding for Stroke with Right Hemiparesis(I69.351)
Complete ICD-10-CM coding and documentation guide for Stroke with Right Hemiparesis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Stroke with Right Hemiparesis
I60-I69Primary Range
Cerebrovascular diseases
This range includes codes for strokes and their sequelae, such as hemiparesis.
Key Information: ICD-10 code for stroke with right hemiparesis
Essential facts and insights about Stroke with Right Hemiparesis
Primary ICD-10-CM Code for stroke with right hemiparesis
Decision Criteria
clinical Criteria
- Persistent right-sided weakness post-stroke
documentation Criteria
- Imaging and clinical notes confirming right-sided weakness
Applicable To
- Right-sided hemiparesis due to previous stroke
Clinical Validation Requirements
- Imaging reports confirming cerebral infarction
- Documentation of right-sided weakness
- Confirmation of right side as dominant
Code-Specific Risks
- Incorrectly using acute stroke codes post-discharge
- Not specifying the dominant side
Coding Notes
- Ensure documentation clearly links hemiparesis to the prior stroke event.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
NIHSS score
R29.81Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Stroke with Right 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: Misrepresentation of patient's condition, Regulatory: Non-compliance with coding standards, Financial: Potential reimbursement issues
Mitigation Strategy
Always document patient's handedness, Include dominance in clinical notes
Impact
Reimbursement: Incorrect DRG assignment leading to reimbursement issues, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate clinical data representation
Mitigation Strategy
Switch to I69.351 for sequelae of stroke in follow-up visits.
Impact
Using acute stroke codes for follow-up visits
Mitigation Strategy
Educate staff on proper code transition from acute to sequelae codes.
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 Stroke with Right Hemiparesis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Stroke with Right Hemiparesis
Use these documentation templates to ensure complete and accurate documentation for Stroke with Right Hemiparesis. These templates include all required elements for proper coding and billing.
Follow-up for stroke with right hemiparesis
Specialty: NeurologyRequired Elements
- Chief complaint
- History of present illness
- Imaging correlation
- Treatment response
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Stroke with Right Hemiparesis? Ask your questions below.