Understanding Right-Sided Hemiparesis: Find information on diagnosis, treatment, and prognosis. Explore resources for healthcare professionals, including clinical documentation tips, ICD-10 codes for hemiparesis, and medical coding guidelines. Learn about causes, symptoms, and rehabilitation strategies for right-sided hemiparesis. This resource provides valuable insights for physicians, nurses, therapists, and medical coders dealing with right hemiparesis.
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 hemiparesis due to cerebrovascular disease?
Yes
Is it specified as infantile cerebral palsy?
No
Is it due to other specified cause?
When to use each related code
Description |
---|
Right-sided weakness |
Left Hemisphere Stroke |
Right Hemiplegia |
Incorrect coding of affected side (right vs. left) leading to inaccurate documentation and claims.
Lack of detail regarding hemiparesis severity (e.g., mild, moderate, severe) impacting reimbursement.
Failure to code the underlying condition causing right-sided hemiparesis (e.g., stroke, trauma) for proper clinical documentation improvement.
Patient presents with right-sided hemiparesis, characterized by weakness affecting the right side of the body. Onset of right hemiparesis was noted on [date of onset], with [acute, subacute, or chronic] progression. Patient reports [symptoms, e.g., difficulty with ambulation, decreased grip strength on the right side, right-sided facial droop]. Neurological examination reveals [detailed findings, e.g., decreased muscle strength in right upper and lower extremities, graded [muscle strength grade using Medical Research Council scale], hyperreflexia on the right side, positive Babinski sign on the right]. Differential diagnosis includes cerebrovascular accident (CVA), stroke, transient ischemic attack (TIA), brain tumor, multiple sclerosis, traumatic brain injury, and spinal cord injury. Diagnostic workup includes [list tests, e.g., MRI brain, CT scan head, carotid ultrasound, electromyography (EMG), nerve conduction study (NCS)]. Initial treatment plan includes [list treatments, e.g., physical therapy, occupational therapy, speech therapy, pharmacologic management for spasticity or pain management]. Patient education provided on right-sided hemiparesis management, stroke rehabilitation, fall prevention strategies, and medication adherence. Follow-up scheduled for [date] to assess treatment response and adjust plan as needed. ICD-10 code G81.9 (Hemiplegia and hemiparesis, unspecified) and relevant CPT codes for evaluation and management, diagnostic testing, and therapeutic interventions will be used for billing and coding purposes. Prognosis for recovery from right hemiparesis is dependent on the underlying cause and patient's response to treatment.