I69.151

HCC Category Mapping

What This Code Means

Weakness or complete paralysis affecting one entire side of the body (arm and leg together) on the right side following brain bleeding, where the right side is the person's dominant side.

Coding Tips

• •Distinguish hemiplegia/hemiparesis (affecting entire side) from monoplegia (single limb) in documentation
• •Verify the fifth character correctly identifies dominance status of the affected side

Clinical Significance

This code captures hemiplegia/hemiparesis (right dominant side) as a late effect of prior nontraumatic intracerebral hemorrhage. Hemiplegia following intracerebral hemorrhage tends to be more severe than from ischemic stroke, as hemorrhage directly destroys brain tissue. This condition carries significant risk adjustment weight reflecting the extensive ongoing care needs including rehabilitation, fall prevention, and management of complications like spasticity and contractures.

Documentation Requirements

• ✓Clear documentation of hemiplegia/hemiparesis 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