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Coding Corner: 2 Clinical Rehab Examples to Get Your Feet Wet in ICD-10

Posted on 23. Apr, 2015 by in ICD-10

Careful: Crosswalks can be your best friend — or worst nightmare.

ICD-10 codes are coming soon, and they’re a lot more detailed than ICD-9. Use the following examples to get a feel for the higher granularity you’re looking at for common rehab diagnoses.

1. Flaccid Hemiplegia

An OT documents a visit for a right-handed client with flaccid hemiplegia impacting the right side. “In ICD-9, the therapist could code the treatment diagnosis of 342.01 (Flaccid hemiplegia and hemiparesis affecting the dominant side),” says Jeremy Furniss, MS OTR/L, http://topessayservice.org/ coding and payment specialist for the American Occupational Therapy Association (AOTA). “The ICD-10, however, looks at dominant and non-dominant as well as laterality, so the ICD-10 code is G81.01 (Flaccid hemiplegia affecting right dominant side).

“The documentation would not have to change, but the level of detail in the coding does have to change,” Furniss says. “The therapists’ documentation...

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