AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2025 Issue 2; Ask the Editor

Unilateral Weakness due to Complex Migraine

A patient with left side facial weakness and numbness, left arm and left leg weakness, right tongue deviation, left eye photophobia, and twitching on the left side of the face, was admitted for stroke evaluation. Imaging showed no acute intracranial pathology, and the patient was diagnosed with left-sided facial droop/left-sided weakness secondary to complex migraine (CM). Is it appropriate to assign a code for hemiplegia when left-sided weakness is secondary to CM? What is the correct code assignment for left-sided weakness secondary to CM? ...

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