ICD Code I69.351

ICD code I69.351 is used to classify and document cases of hemiplegia and hemiparesis that occur as a result of a cerebral infarction, specifically affecting the right dominant side of the body. This code is crucial for healthcare providers to accurately record the long-term effects of a stroke, ensuring appropriate treatment plans and facilitating effective communication with insurance companies for reimbursement purposes.

1. History of Cerebral Infarction: The patient must have a documented history of a cerebral infarction, which is a type of stroke caused by an interruption of blood supply to the brain.

2. Hemiplegia or Hemiparesis: The patient exhibits hemiplegia (complete paralysis) or hemiparesis (partial weakness) on one side of the body.

3. Affecting the Right Side: The symptoms of hemiplegia or hemiparesis are specifically affecting the right side of the body.

4. Dominant Side Involvement: The right side affected is the dominant side of the patient. This is typically determined by the patient's handedness prior to the cerebral infarction.

5. Residual Effects: The hemiplegia or hemiparesis is a residual effect following the cerebral infarction, indicating that these symptoms are a direct consequence of the stroke event.

6. Clinical Documentation: There must be clinical documentation supporting the diagnosis, including imaging studies or neurological assessments that confirm the presence of hemiplegia or hemiparesis following the cerebral infarction.

7. Exclusion of Other Causes: Other potential causes of hemiplegia or hemiparesis, such as traumatic brain injury or other neurological disorders, should be ruled out to ensure the symptoms are directly related to the cerebral infarction.

For the ICD code I69.351, the relevant CPT codes that may be applicable include:

1. 99201-99499 - Evaluation and Management Services: These codes cover a range of services that may be necessary for assessing and managing the condition associated with I69.351.

2. 97110 - Therapeutic Exercises: This code is used for exercises to develop strength and endurance, range of motion, and flexibility, which may be part of the rehabilitation process.

3. 97112 - Neuromuscular Reeducation: This involves reeducation of movement, balance, coordination, kinesthetic sense, posture, and proprioception.

4. 97116 - Gait Training Therapy: This code is used for training patients in walking, which may be necessary for those affected by hemiplegia or hemiparesis.

5. 97530 - Therapeutic Activities: This involves the use of dynamic activities to improve functional performance.

6. G0283 - Electrical Stimulation (unattended): This code is used for electrical stimulation therapy, which may be part of the treatment plan.

7. 90901 - Biofeedback Training: This code is used for biofeedback training, which can be beneficial in managing symptoms and improving function.

These CPT codes are examples of the types of services that might be billed in conjunction with the ICD code I69.351, depending on the specific treatment plan and services provided. Always consult the latest CPT code manual and payer guidelines for the most accurate and applicable coding.

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