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ICD-10 Guide
ICD-10 CodesG83.13

G83.13

Billable

Monoplegia of lower limb affecting right nondominant side

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

Code Description

ICD-10 G83.13 is a billable code used to indicate a diagnosis of monoplegia of lower limb affecting right nondominant side.

Key Diagnostic Point:

Monoplegia of the lower limb affecting the right nondominant side is a neurological condition characterized by the paralysis of one limb, specifically the right leg, while the rest of the body remains unaffected. This condition often arises from damage to the brain or spinal cord, which can occur due to various factors such as stroke, traumatic brain injury, or cerebral palsy. In cases of cerebral palsy, monoplegia can result from abnormal brain development or injury during early development, leading to motor function impairments. Patients may experience significant mobility challenges, including difficulty walking, maintaining balance, and performing daily activities. Rehabilitation strategies often involve physical therapy to improve strength and coordination, as well as occupational therapy to enhance functional independence. Understanding the underlying cause of the monoplegia is crucial for effective management and treatment planning, as it can influence the prognosis and rehabilitation outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between monoplegia and other forms of paralysis.
  • Identifying the specific side affected (nondominant vs. dominant).
  • Understanding the underlying etiology (e.g., cerebral palsy vs. stroke).
  • Documenting the extent of mobility impairment and functional limitations.

Audit Risk Factors

  • Inadequate documentation of the specific limb affected.
  • Failure to specify the underlying cause of paralysis.
  • Misclassification of the type of paralysis (e.g., monoplegia vs. hemiplegia).
  • Lack of supporting clinical evidence for the diagnosis.

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, including motor function assessment and any imaging studies.

Common Clinical Scenarios

Patients presenting with unilateral weakness following a stroke or traumatic brain injury.

Billing Considerations

Ensure clear documentation of the onset and progression of symptoms to support the diagnosis.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessment of functional limitations and rehabilitation goals.

Common Clinical Scenarios

Patients undergoing rehabilitation for mobility impairments due to monoplegia.

Billing Considerations

Documenting the patient's response to therapy and any assistive devices used.

Coding Guidelines

Inclusion Criteria

Use G83.13 When
  • According to ICD
  • 10 coding guidelines, G83
  • 13 should be used when the clinical documentation clearly indicates monoplegia of the right lower limb
  • It is essential to include details about the underlying cause and any associated conditions

Exclusion Criteria

Do NOT use G83.13 When
  • Exclusion criteria include conditions that do not specifically involve monoplegia

Related ICD-10 Codes

Related CPT Codes

97110CPT Code

Therapeutic exercises

Clinical Scenario

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

Documentation Requirements

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

Specialty Considerations

Physical therapy documentation should include functional goals and outcomes.

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 monoplegia, improving the accuracy of diagnoses and treatment plans. This specificity aids in better tracking of patient outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like monoplegia, improving the accuracy of diagnoses and treatment plans. This specificity aids in better tracking of patient outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like monoplegia, improving the accuracy of diagnoses and treatment plans. This specificity aids in better tracking of patient outcomes and resource allocation.

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 monoplegia and hemiplegia?

Monoplegia refers to paralysis affecting one limb, while hemiplegia involves paralysis of one side of the body, affecting both the upper and lower limbs.