Hemiplegia, unspecified affecting unspecified side
ICD-10 G81.90 is a billable code used to indicate a diagnosis of hemiplegia, unspecified affecting unspecified side.
Hemiplegia is a condition characterized by paralysis of one side of the body, which can result from various neurological conditions, including stroke, traumatic brain injury, or cerebral palsy. In the case of G81.90, the hemiplegia is unspecified, meaning that the specific side affected is not documented. This can complicate treatment and rehabilitation, as the degree of impairment and the specific needs of the patient may vary significantly. Hemiplegia can lead to significant mobility impairments, affecting the patient's ability to perform daily activities and participate in rehabilitation programs. Patients may experience muscle weakness, spasticity, and coordination difficulties, which can further complicate their mobility. In children, hemiplegia may be associated with cerebral palsy, a group of disorders that affect movement and muscle tone. Understanding the underlying cause of hemiplegia is crucial for effective management and rehabilitation, as it influences the treatment approach and expected outcomes. The unspecified nature of this code may lead to challenges in care planning and resource allocation, making accurate documentation essential for optimal patient management.
Detailed neurological examination findings, including motor function assessments and any imaging results.
Patients presenting with sudden onset of weakness, post-stroke rehabilitation, or chronic conditions like cerebral palsy.
Ensure clear documentation of the affected side and any associated neurological deficits.
Comprehensive rehabilitation plans, including goals, interventions, and progress notes.
Rehabilitation following stroke, traumatic brain injury, or management of cerebral palsy.
Document functional limitations and the impact on daily living activities.
Used for rehabilitation of patients with hemiplegia to improve strength and mobility.
Document the specific exercises performed and the patient's response.
Physical therapy documentation must align with the diagnosis of hemiplegia.
G81.90 should be used when hemiplegia is documented but the specific side affected is not specified. It is important to ensure that the documentation supports the diagnosis.
