Spastic hemiplegia affecting left nondominant side
ICD-10 G81.14 is a billable code used to indicate a diagnosis of spastic hemiplegia affecting left nondominant side.
Spastic hemiplegia is a form of cerebral palsy characterized by muscle stiffness and weakness on one side of the body, in this case, the left side, which is typically the nondominant side for most individuals. This condition arises from damage to the motor areas of the brain, often due to factors such as prenatal complications, birth trauma, or postnatal injuries. Patients with G81.14 may exhibit significant mobility impairments, affecting their ability to perform daily activities. The left nondominant side involvement can lead to challenges in coordination, balance, and fine motor skills, impacting the patient's overall quality of life. 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 effective management and coding, as it requires a comprehensive approach to care that addresses both physical and developmental needs.
Detailed neurological assessments, including motor function evaluations and developmental history.
Patients presenting with motor delays, spasticity assessments, and follow-up evaluations post-therapy.
Ensure that the documentation clearly states the side affected and the degree of impairment.
Therapy progress notes, functional assessments, and treatment plans that reflect the patient's mobility challenges.
Therapy sessions focusing on improving strength and coordination on the affected side.
Document specific goals related to mobility and functional independence.
Used for patients with spastic hemiplegia to improve strength and mobility.
Document the specific exercises performed and the patient's response.
Physical therapy documentation should reflect the goals of therapy and progress made.
Specifying the nondominant side is crucial for understanding the patient's functional abilities and tailoring rehabilitation strategies, as it often affects their daily activities and independence.
