Flaccid hemiplegia affecting unspecified side

This code signifies paralysis affecting one side of the body, characterized by flaccidity or loss of muscle tone, where the specific side (left or right) is not documented. It indicates a complete or severe loss of motor function on one side, resulting in limp, weak muscles.

Use this code when documentation clearly states "flaccid hemiplegia" but does not specify whether it affects the left or right side of the body. This is appropriate for initial encounters or when the laterality of the hemiplegia has not yet been determined or recorded.

• Avoid using this code if the laterality (left or right) is documented; instead, use the more specific G81.01 (right) or G81.02 (left).
• This code is typically assigned as a secondary diagnosis, following the code for the underlying cause of the hemiplegia (e.g., stroke).
• Query the provider for clarification on laterality if possible, to allow for more specific coding.