Monoplg low lmb fol cerebral infrc aff right nondom side

This code indicates paralysis affecting a single lower limb (monoplegia) that developed as a sequela of a cerebral infarction (ischemic stroke). Specifically, the stroke occurred on the right side of the brain, which is the non-dominant hemisphere for most individuals, and resulted in the inability to move the affected lower extremity.

Use this code when documentation clearly states a patient has residual monoplegia of a lower limb, specifically on the side contralateral to a right-sided cerebral infarction. This code is appropriate for chronic or long-term neurological deficits following a stroke, not for the acute phase. Documentation should specify the affected limb, the side of the brain affected by the infarction, and the non-dominant hemisphere involvement.

• Always sequence this code after the acute stroke code (I63.-) if the patient is still within the acute phase of care. For late effects, this code is primary.
• Ensure documentation specifies "non-dominant" side; otherwise, an unspecified dominance code (I69.341 or I69.349) may be more appropriate.
• Distinguish between monoplegia (paralysis of one limb) and hemiplegia (paralysis of one side of the body) or other paralysis types.