Flaccid hemiplegia affecting right nondominant side
ICD-10 G81.03 is a billable code used to indicate a diagnosis of flaccid hemiplegia affecting right nondominant side.
Flaccid hemiplegia is a condition characterized by weakness or paralysis on one side of the body, specifically affecting the right nondominant side in this case. This condition often arises from damage to the brain, particularly in areas responsible for motor control, such as the motor cortex or the brainstem. In individuals with cerebral palsy, flaccid hemiplegia can manifest as a result of prenatal or perinatal brain injury, leading to significant mobility impairments. Patients may experience difficulties with voluntary movement, muscle tone abnormalities, and coordination challenges. The right nondominant side refers to the side of the body that is not typically used for skilled tasks, which can further complicate rehabilitation efforts. Treatment often involves physical therapy, occupational therapy, and sometimes surgical interventions to improve mobility and function. Understanding the nuances of this condition is crucial for accurate coding and appropriate management of the patient's care.
Detailed neurological examination findings, including motor function assessments and imaging results.
Patients presenting with sudden onset of weakness, post-stroke rehabilitation, or congenital conditions.
Ensure clarity in documenting the type of hemiplegia and any associated neurological deficits.
Therapy progress notes, functional assessments, and treatment plans.
Rehabilitation following stroke or traumatic brain injury, focusing on mobility and strength training.
Document specific goals and outcomes related to mobility improvements.
Used in conjunction with G81.03 for rehabilitation therapy.
Document specific exercises performed and progress made.
Physical therapy documentation should reflect the patient's goals and functional improvements.
Flaccid hemiplegia is characterized by reduced muscle tone and weakness, while spastic hemiplegia involves increased muscle tone and stiffness. Accurate diagnosis is essential for appropriate coding and treatment.
