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ICD-10 Guide
ICD-10 CodesG81.01

G81.01

Billable

Flaccid hemiplegia affecting right dominant side

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 G81.01 is a billable code used to indicate a diagnosis of flaccid hemiplegia affecting right dominant side.

Key Diagnostic Point:

Flaccid hemiplegia is a condition characterized by weakness or paralysis on one side of the body, specifically affecting the right side in this case. This condition is often a result of damage to the motor pathways in the brain, typically due to a stroke, traumatic brain injury, or other neurological disorders. In individuals with right dominant side hemiplegia, the left side of the brain is usually affected, leading to significant mobility impairments. Patients may experience difficulties with voluntary movements, muscle tone abnormalities, and coordination challenges. Flaccid hemiplegia can also impact daily activities, requiring assistance with personal care, mobility, and rehabilitation. The severity of the condition can vary, with some individuals achieving partial recovery through therapy, while others may remain dependent on caregivers. Understanding the implications of this diagnosis is crucial for developing effective treatment plans and rehabilitation strategies.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between flaccid and spastic hemiplegia
  • Identifying the dominant side for accurate coding
  • Documenting the extent of paralysis and associated conditions
  • Understanding the underlying causes of hemiplegia

Audit Risk Factors

  • Inadequate documentation of the dominant side
  • Failure to specify the type of hemiplegia
  • Lack of supporting clinical evidence for the diagnosis
  • Misclassification of hemiplegia type

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with sudden onset weakness, post-stroke rehabilitation, and chronic hemiplegia management.

Billing Considerations

Ensure clarity in documenting the type of hemiplegia and any associated neurological deficits.

Physical Therapy

Documentation Requirements

Therapy progress notes, functional assessments, and treatment goals.

Common Clinical Scenarios

Rehabilitation sessions focusing on mobility training and strength building for hemiplegic patients.

Billing Considerations

Document specific functional limitations and improvements to support ongoing therapy needs.

Coding Guidelines

Inclusion Criteria

Use G81.01 When
  • According to ICD
  • 10 guidelines, G81
  • 01 should be used when flaccid hemiplegia is confirmed and specifically affects the right dominant side

Exclusion Criteria

Do NOT use G81.01 When
  • Exclusions include conditions that do not involve paralysis or are not hemiplegic in nature

Related ICD-10 Codes

Related CPT Codes

97110CPT Code

Therapeutic exercises

Clinical Scenario

Used for rehabilitation of patients with G81.01 to improve strength and mobility.

Documentation Requirements

Document specific exercises performed and patient progress.

Specialty Considerations

Physical therapy notes should align with the diagnosis for accurate billing.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like G81.01, improving the accuracy of patient records and facilitating better treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like G81.01, improving the accuracy of patient records and facilitating better treatment planning.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like G81.01, improving the accuracy of patient records and facilitating better treatment planning.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between flaccid and spastic hemiplegia?

Flaccid hemiplegia involves reduced muscle tone and weakness, while spastic hemiplegia is characterized by increased muscle tone and stiffness. Accurate coding requires identifying the type of hemiplegia present.