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ICD-10 Guide
ICD-10 CodesG83.22

G83.22

Billable

Monoplegia of upper limb affecting left dominant side

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

Code Description

ICD-10 G83.22 is a billable code used to indicate a diagnosis of monoplegia of upper limb affecting left dominant side.

Key Diagnostic Point:

Monoplegia of the upper limb affecting the left dominant side is a neurological condition characterized by the paralysis of the left arm, which is the dominant limb for individuals who are left-handed. This condition often results from damage to the brain or spinal cord, commonly due to stroke, traumatic brain injury, or conditions such as cerebral palsy. In patients with cerebral palsy, monoplegia can manifest as a result of abnormal brain development or injury during early development. The affected individual may experience significant mobility impairments, impacting their ability to perform daily activities, such as dressing, eating, and writing. Rehabilitation strategies often include physical therapy to improve strength and function, occupational therapy to enhance daily living skills, and sometimes the use of assistive devices. Understanding the underlying cause of the monoplegia is crucial for effective treatment and management, 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 dominant side of the patient accurately.
  • Documenting the underlying cause of the paralysis.
  • Understanding the implications of associated conditions like cerebral palsy.

Audit Risk Factors

  • Inadequate documentation of the patient's dominant side.
  • Failure to specify the underlying cause of the monoplegia.
  • Misclassification of the type of paralysis.
  • Inconsistent use of codes for related conditions.

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, including motor function assessments and any imaging results.

Common Clinical Scenarios

Patients presenting with sudden onset of weakness in the left arm post-stroke or gradual weakness due to cerebral palsy.

Billing Considerations

Ensure that the documentation specifies the dominant side and the extent of paralysis.

Rehabilitation Medicine

Documentation Requirements

Comprehensive rehabilitation assessments, including functional mobility evaluations and therapy progress notes.

Common Clinical Scenarios

Patients undergoing rehabilitation for upper limb function post-injury or surgery.

Billing Considerations

Document the patient's goals and progress in therapy to support the need for ongoing treatment.

Coding Guidelines

Inclusion Criteria

Use G83.22 When
  • According to ICD
  • 10 coding guidelines, G83
  • 22 should be used when there is clear documentation of monoplegia affecting the left upper limb, with emphasis on the patient's dominant side
  • Coders should ensure that the underlying cause is documented to support the diagnosis

Exclusion Criteria

Do NOT use G83.22 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

97110CPT Code

Therapeutic exercises

Clinical Scenario

Used for rehabilitation of the left arm in patients with monoplegia.

Documentation Requirements

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

Specialty Considerations

Physical therapy notes should detail the patient's response to therapy.

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 patient records and facilitating better care management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like monoplegia, improving the accuracy of patient records and facilitating better care management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like monoplegia, improving the accuracy of patient records and facilitating better care management.

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 a single limb, while hemiplegia involves paralysis of one side of the body, affecting both limbs on that side.