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ICD-10 Guide
ICD-10 CodesG81.93

G81.93

Billable

Hemiplegia, unspecified affecting right nondominant side

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

Code Description

ICD-10 G81.93 is a billable code used to indicate a diagnosis of hemiplegia, unspecified affecting right nondominant side.

Key Diagnostic Point:

Hemiplegia refers to paralysis affecting one side of the body, and in this case, it is unspecified, indicating that the exact cause or type of hemiplegia is not clearly defined. This specific code denotes hemiplegia affecting the right nondominant side, which is crucial for understanding the patient's functional limitations. Patients with this condition may experience significant mobility impairments, affecting their ability to perform daily activities. Hemiplegia can arise from various neurological conditions, including stroke, traumatic brain injury, or cerebral palsy. In children, cerebral palsy is a common cause of hemiplegia, often resulting from brain damage during development. The right nondominant side involvement may lead to challenges in coordination and strength, impacting the patient's quality of life. Rehabilitation strategies often include physical therapy, occupational therapy, and assistive devices to enhance mobility and independence. Understanding the nuances of this condition is essential for accurate coding and appropriate treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Unspecified nature of the hemiplegia complicates diagnosis.
  • Differentiating between types of hemiplegia and their causes.
  • Variability in patient presentation and functional status.
  • Need for comprehensive documentation to support coding.

Audit Risk Factors

  • Insufficient documentation of the patient's functional limitations.
  • Failure to specify the cause of hemiplegia.
  • Inconsistent coding across different encounters.
  • Lack of supporting evidence for the diagnosis.

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, including motor function assessments and imaging results.

Common Clinical Scenarios

Patients presenting with sudden onset of weakness, post-stroke rehabilitation, or chronic conditions like cerebral palsy.

Billing Considerations

Ensure clarity in documenting the side affected and the patient's baseline functional status.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessments of mobility, strength, and functional independence.

Common Clinical Scenarios

Rehabilitation following stroke, traumatic brain injury, or progressive neurological disorders.

Billing Considerations

Focus on functional outcomes and therapy goals in documentation.

Coding Guidelines

Inclusion Criteria

Use G81.93 When
  • Follow ICD
  • CM guidelines for coding neurological conditions
  • Ensure that the documentation supports the diagnosis of hemiplegia and specifies the affected side

Exclusion Criteria

Do NOT use G81.93 When
  • Exclude conditions that may lead to similar symptoms but are not classified as hemiplegia

Related ICD-10 Codes

Related CPT Codes

97110CPT Code

Therapeutic exercises

Clinical Scenario

Used in rehabilitation for improving strength and mobility in hemiplegic patients.

Documentation Requirements

Document the specific exercises performed and the patient's response.

Specialty Considerations

Physical therapy documentation should reflect the patient's progress and goals.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of hemiplegia, improving the accuracy of patient records and facilitating better treatment planning. G81.93 provides a clear designation for hemiplegia affecting the right nondominant side, which is essential for rehabilitation strategies.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of hemiplegia, improving the accuracy of patient records and facilitating better treatment planning. G81.93 provides a clear designation for hemiplegia affecting the right nondominant side, which is essential for rehabilitation strategies.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of hemiplegia, improving the accuracy of patient records and facilitating better treatment planning. G81.93 provides a clear designation for hemiplegia affecting the right nondominant side, which is essential for rehabilitation strategies.

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 hemiplegia and hemiparesis?

Hemiplegia refers to complete paralysis of one side of the body, while hemiparesis indicates partial weakness. Both conditions can result from similar underlying causes, but the severity of motor impairment differs.