I69.142
BillableMonoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting left dominant side
HCC Category Mapping
V28HCC 254 — Monoplegia, Other Paralytic Syndromes
0.000V24HCC 104 — Monoplegia, Other Paralytic Syndromes
0.304ESRDHCC 104 — Monoplegia, Other Paralytic Syndromes
0.000What This Code Means
Weakness or paralysis of one leg on the left side of the body that occurred as a result of bleeding in the brain, where the left side is the person's dominant side.
Coding Tips
- •Verify the hemorrhage location and resulting monoplegia are clearly documented in the medical record
- •Ensure dominance status is explicitly stated to differentiate from I69.144
Clinical Significance
This code captures monoplegia of the lower limb (left dominant side) as a late effect (sequela) of a prior nontraumatic intracerebral hemorrhage. Intracerebral hemorrhage often causes more severe and persistent neurological deficits than ischemic stroke due to direct brain tissue destruction. Capturing these sequelae accurately reflects the patient's ongoing functional limitations and care needs for risk adjustment purposes.
Documentation Requirements
- ✓Clear documentation of monoplegia as a current, active condition (not just in the patient's history)
- ✓Documentation explicitly linking the paralytic deficit to a prior nontraumatic intracerebral hemorrhage
- ✓Specification of affected side and dominance (right dominant, left dominant, right non-dominant, left non-dominant)
- ✓Current functional assessment documenting the severity and impact on activities of daily living
- ✓Ongoing treatment plan including rehabilitation services, medications, and assistive devices
- ✓Documentation that the original stroke was an intracerebral hemorrhage (bleeding within the brain tissue) — not subarachnoid hemorrhage or cerebral infarction
Commonly Confused Codes
I69.13x — Monoplegia of upper limb following nontraumatic intracerebral hemorrhage; different limb affectedI69.15x — Hemiplegia/hemiparesis following nontraumatic intracerebral hemorrhage; involves both arm and leg on one sideI69.04x — Monoplegia of lower limb following nontraumatic subarachnoid hemorrhage; different type of hemorrhagic strokeI69.34x — Monoplegia of lower limb following cerebral infarction; sequela of ischemic, not hemorrhagic strokeG83.1x — Monoplegia of lower limb; use when cause is not stroke sequela
Code Hierarchy
└I69Sequelae of cerebrovascular disease└I69.1Sequelae of nontraumatic intracerebral hemorrhage└I69.14Monoplegia of lower limb following nontraumatic intracerebral hemorrhage└I69.142Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting left dominant side
└I69.142Monoplegia of lower limb following nontraumatic intracerebral hemorrhage affecting left dominant side