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ICD-10 Guide
ICD-10 CodesG83.24

G83.24

Billable

Monoplegia of upper limb affecting left nondominant side

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

Code Description

ICD-10 G83.24 is a billable code used to indicate a diagnosis of monoplegia of upper limb affecting left nondominant side.

Key Diagnostic Point:

Monoplegia of the upper limb affecting the left nondominant side is a neurological condition characterized by the paralysis of the left arm, which is not the dominant limb for most individuals. This condition often arises from damage to the brain or spinal cord, commonly due to stroke, traumatic brain injury, or cerebral palsy. In cases of cerebral palsy, the paralysis is typically 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, and personal hygiene. The left nondominant side paralysis can lead to compensatory mechanisms, where patients may rely more heavily on their dominant side, potentially leading to overuse injuries. Rehabilitation strategies often include physical therapy to improve strength and coordination, 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.

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 (e.g., stroke, cerebral palsy).
  • Documenting the specific side affected and its impact on functionality.
  • Understanding the patient's overall mobility status and any co-existing conditions.

Audit Risk Factors

  • Inadequate documentation of the patient's functional status.
  • Failure to specify the underlying cause of the monoplegia.
  • Misclassification of the affected side.
  • Lack of supporting evidence for the diagnosis in the medical record.

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, imaging studies, and history of the presenting illness.

Common Clinical Scenarios

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

Billing Considerations

Ensure clear documentation of the neurological deficits and their impact on daily functioning.

Physical Medicine and Rehabilitation

Documentation Requirements

Functional assessments, therapy progress notes, and treatment plans.

Common Clinical Scenarios

Patients undergoing rehabilitation for upper limb paralysis post-stroke or due to cerebral palsy.

Billing Considerations

Documenting the patient's progress and response to therapy is essential for ongoing treatment and coding.

Coding Guidelines

Inclusion Criteria

Use G83.24 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the condition's specifics, including laterality and the underlying cause

Exclusion Criteria

Do NOT use G83.24 When
  • Exclude conditions that do not meet the criteria for monoplegia

Related ICD-10 Codes

Related CPT Codes

97110CPT Code

Therapeutic exercises

Clinical Scenario

Used in rehabilitation for improving strength and mobility in the affected limb.

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 treatment planning.

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 treatment planning.

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 treatment planning.

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 one limb, while hemiplegia affects both limbs on one side of the body.