Spastic hemiplegia affecting left dominant side
ICD-10 G81.12 is a billable code used to indicate a diagnosis of spastic hemiplegia affecting left dominant side.
Spastic hemiplegia is a form of cerebral palsy characterized by muscle stiffness and weakness on one side of the body, specifically affecting the left side in this case. This condition arises from damage to the motor cortex of the brain, often due to factors such as prenatal complications, birth trauma, or postnatal injuries. Individuals with left-sided spastic hemiplegia may exhibit significant mobility impairments, affecting their ability to walk, run, or perform fine motor tasks with the right side of their body. The condition can lead to secondary complications such as joint deformities, muscle contractures, and difficulties with coordination and balance. Rehabilitation strategies often include physical therapy, occupational therapy, and sometimes surgical interventions to improve mobility and function. Understanding the nuances of spastic hemiplegia is crucial for accurate coding and appropriate management of the patient's care.
Detailed neurological assessments and imaging studies.
Diagnosis of cerebral palsy, management of spasticity, and coordination of multidisciplinary care.
Neurologists must document the extent of motor impairment and any associated neurological deficits.
Therapy progress notes, functional assessments, and treatment plans.
Rehabilitation following diagnosis, ongoing therapy for mobility improvement.
Therapists should document specific goals related to mobility and functional independence.
Used for rehabilitation of mobility in patients with spastic hemiplegia.
Document the specific exercises performed and the patient's response.
Physical therapists should note progress towards mobility goals.
Spastic hemiplegia affects one side of the body, while spastic diplegia affects both sides, typically with more severe involvement of the legs.
