Understanding hemiparesis diagnosis, treatment, and prognosis? Find information on hemiparesis symptoms, causes (including stroke and cerebral palsy), and associated ICD-10 codes. Learn about clinical documentation requirements for hemiparesis, including muscle weakness, motor function assessment, and rehabilitation therapies. Explore resources for healthcare professionals, including standardized medical coding guidelines and best practices for accurate hemiparesis documentation.
Also known as
Hemiplegia and hemiparesis
Weakness or paralysis on one side of the body.
Cerebrovascular diseases
Conditions affecting blood vessels in the brain, a common cause of hemiparesis.
Diseases of the nervous system
Encompasses various neurological disorders, including hemiparesis.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the hemiparesis dominant side?
Yes
Is it due to a CVA?
No
Is it nondominant side?
When to use each related code
Description |
---|
Weakness on one side of the body. |
Paralysis on one side of the body. |
Generalized muscle weakness. |
Incomplete documentation of affected side (right vs. left) leading to inaccurate coding and reimbursement.
Failure to document dominant vs. non-dominant side impact can affect severity coding and functional assessment.
Missing or inaccurate coding of the underlying cause of hemiparesis (e.g., stroke, trauma) impacts data integrity.
Patient presents with hemiparesis, characterized by unilateral weakness affecting one side of the body. Assessment reveals right left hemiparesis impacting the right left upper and lower extremities. Onset of hemiparesis symptoms occurred on [Date of Onset], with the patient describing [Onset Characteristics - e.g., gradual onset, sudden onset]. The patient reports [Symptoms - e.g., difficulty with ambulation, decreased grip strength, impaired fine motor skills]. Neurological examination demonstrates [Objective Findings - e.g., reduced muscle power graded [Strength Grade] on the Medical Research Council scale, hyperreflexia, positive Babinski sign]. Differential diagnosis includes stroke, cerebrovascular accident, transient ischemic attack, brain tumor, multiple sclerosis, and traumatic brain injury. Diagnostic workup including [Diagnostic Tests Performed - e.g., MRI brain, CT scan head, electromyography, nerve conduction studies] is underway to determine the underlying etiology of the hemiparesis. Current treatment plan includes [Treatment Plan - e.g., physical therapy, occupational therapy, referral to neurology, medication management for spasticity]. Patient education provided on hemiparesis management, stroke rehabilitation, fall prevention strategies, and adaptive equipment. Follow-up scheduled for [Date of Follow-Up] to reassess functional status and adjust treatment plan as needed. ICD-10 code [ICD-10 Code - e.g., G81.9, G83.9] assigned. CPT codes for evaluation and management, diagnostic testing, and therapeutic procedures will be documented separately. Prognosis for recovery is dependent on the underlying cause and the patient's response to treatment.