Spastic hemiplegia affecting unspecified side
ICD-10 G81.10 is a billable code used to indicate a diagnosis of spastic hemiplegia affecting unspecified side.
Spastic hemiplegia is a form of cerebral palsy characterized by muscle stiffness and weakness on one side of the body, resulting from damage to the brain's motor control centers. This condition typically manifests in early childhood and can significantly impact mobility and daily functioning. Patients may exhibit varying degrees of motor impairment, ranging from mild weakness to complete paralysis of the affected side. The spasticity can lead to difficulties in coordination, balance, and fine motor skills, which can hinder activities such as walking, writing, and self-care. The severity of symptoms can fluctuate, and individuals may experience associated conditions such as seizures, cognitive impairments, or speech difficulties. Treatment often involves a multidisciplinary approach, including physical therapy, occupational therapy, and sometimes surgical interventions to improve mobility and quality of life. Understanding the nuances of spastic hemiplegia is crucial for accurate coding and effective patient management.
Detailed neurological assessments, including motor function evaluations and any imaging studies.
Diagnosis of spastic hemiplegia in pediatric patients, management of associated seizures.
Ensure clarity in documenting the extent of motor impairment and any interventions.
Therapy progress notes, functional assessments, and treatment plans.
Rehabilitation following surgery to improve mobility, ongoing therapy for muscle spasticity.
Document specific goals and outcomes related to mobility improvements.
Used in conjunction with G81.10 for rehabilitation therapy.
Document specific exercises performed and progress made.
Physical therapy notes should reflect the patient's functional goals.
Spastic hemiplegia affects one side of the body, while spastic diplegia primarily affects the legs, often with less involvement of the arms.
