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ICD-10 Guide
ICD-10 CodesG83.23

G83.23

Billable

Monoplegia of upper limb affecting right nondominant side

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

Code Description

ICD-10 G83.23 is a billable code used to indicate a diagnosis of monoplegia of upper limb affecting right nondominant side.

Key Diagnostic Point:

Monoplegia of the upper limb affecting the right nondominant side is a neurological condition characterized by the paralysis of the right arm, which is not the dominant limb for the individual. This condition often arises from damage to the brain or spinal cord, commonly due to conditions such as cerebral palsy, stroke, or traumatic brain injury. In cases of cerebral palsy, the paralysis may be due to abnormal brain development or injury during early development. Patients may experience significant mobility impairments, affecting their ability to perform daily activities, such as dressing, eating, or writing. The right nondominant side being affected can lead to unique challenges, as individuals may rely more heavily on their dominant side for tasks. Rehabilitation strategies often include physical therapy to improve strength and coordination, occupational therapy to enhance daily living skills, and assistive devices to promote independence. Understanding the underlying cause of the monoplegia is crucial for effective treatment and management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between monoplegia and other forms of paralysis.
  • Identifying the underlying cause of the condition.
  • Documenting the specific side affected and its impact on functionality.
  • Understanding the patient's overall mobility and rehabilitation needs.

Audit Risk Factors

  • Inadequate documentation of the patient's functional limitations.
  • Failure to specify the underlying cause of the monoplegia.
  • Misidentification of the affected limb as dominant or nondominant.
  • Lack of supporting evidence for the diagnosis in the medical record.

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, including motor function assessment.

Common Clinical Scenarios

Patients presenting with weakness or paralysis following a stroke or traumatic brain injury.

Billing Considerations

Documentation should clearly outline the neurological deficits and their impact on daily living.

Physical Therapy

Documentation Requirements

Therapy progress notes detailing treatment goals and functional outcomes.

Common Clinical Scenarios

Patients undergoing rehabilitation for mobility impairments due to monoplegia.

Billing Considerations

Therapists should document specific interventions aimed at improving strength and coordination.

Coding Guidelines

Inclusion Criteria

Use G83.23 When
  • According to ICD
  • 10 coding guidelines, G83
  • 23 should be used when the documentation specifies monoplegia of the upper limb affecting the right nondominant side
  • Coders must ensure that the diagnosis is supported by clinical findings and that the condition is not due to a more generalized paralysis

Exclusion Criteria

Do NOT use G83.23 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

97110CPT Code

Therapeutic exercises

Clinical Scenario

Used for rehabilitation of strength and coordination in the affected limb.

Documentation Requirements

Document specific exercises performed and progress made.

Specialty Considerations

Physical therapists should note the patient's response to therapy and any modifications made.

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 G83.23, improving the accuracy of patient records and facilitating better care management. The granularity of ICD-10 codes helps in capturing the nuances of conditions affecting mobility and function.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like G83.23, improving the accuracy of patient records and facilitating better care management. The granularity of ICD-10 codes helps in capturing the nuances of conditions affecting mobility and function.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like G83.23, improving the accuracy of patient records and facilitating better care management. The granularity of ICD-10 codes helps in capturing the nuances of conditions affecting mobility and function.

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, which may include both the upper and lower limbs.