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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
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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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