Hemiplegia, unspecified affecting right dominant side
ICD-10 G81.91 is a billable code used to indicate a diagnosis of hemiplegia, unspecified affecting right dominant side.
Hemiplegia is a condition characterized by paralysis of one side of the body, which can result from various neurological conditions, including stroke, traumatic brain injury, or cerebral palsy. In the case of G81.91, the hemiplegia affects the right dominant side, indicating that the individual is likely right-handed. This condition can lead to significant mobility impairments, affecting the patient's ability to perform daily activities independently. Patients may experience weakness, loss of coordination, and difficulty with balance, which can severely impact their quality of life. Rehabilitation often involves physical therapy, occupational therapy, and sometimes speech therapy, depending on the extent of the neurological damage. The unspecified nature of this code indicates that the exact cause of the hemiplegia is not documented, which can complicate treatment planning and prognosis. Understanding the underlying cause is crucial for effective management and rehabilitation strategies.
Detailed neurological examination findings, including motor function assessments and any imaging studies.
Patients presenting with sudden onset of weakness, post-stroke rehabilitation, or chronic conditions like cerebral palsy.
Ensure that the documentation clearly states the dominant side affected and any associated conditions.
Therapy progress notes, functional assessments, and treatment plans tailored to the patient's hemiplegia.
Rehabilitation sessions focusing on mobility, strength training, and activities of daily living.
Document specific goals related to improving mobility and independence.
Used in rehabilitation for improving strength and mobility in hemiplegic patients.
Document the specific exercises performed and the patient's response.
Physical therapists should note progress towards functional goals.
Hemiplegia refers to complete paralysis of one side of the body, while hemiparesis indicates partial weakness on one side. Both conditions can result from similar neurological causes.
