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DX for 'spastic hemiplegia due to an intrauterine stroke'

Lynne Posted Wed 21st of December, 2011 19:29:29 PM

Patient is 54 years old.
We've had different opinions in the office on how to code this. Use the 'late effects - 438' code? Use 343.4 ? (Even if 'cerebral palsy' is not stated)

SuperCoder Answered Wed 21st of December, 2011 23:23:05 PM

342 Category of Codes: Hemiplegia and hemiparesis
Note: This category is to be used when hemiplegia (complete) (incomplete) is reported without further specification, or is stated to be old or long-standing but of unspecified cause. The category is also for use in multiple coding to identify these types of hemiplegia resulting from any cause.
hemiplegia due to late effect of cerebrovascular accident (438.20-438.22)---- Most appropriate, if Late Effect.
infantile NOS (343.4)-----You will agree that this will not be applicable in this case.
The following fifth-digits are for use with codes 342.0-342.9
0 affecting unspecified side
1 affecting dominant side
2 affecting nondominant side

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