G83.2
Monoplegia of upper limb
Clinical Classification Guidelines
Inclusion Terms
- Paralysis of upper limb
Excludes Type 1
- monoplegia of upper limbs due to sequela of cerebrovascular disease (I69.03-, I69.13-, I69.23-, I69.33-, I69.83-, I69.93-)
Medical Intelligence & Overview
Monoplegia of the upper limb, classified under ICD-10 code G83.2, refers to paralysis affecting only one arm or hand. This condition results from damage to the nerves or parts of the brain and spinal cord responsible for muscle control of the upper limb. The paralysis can vary in severity, from partial weakness to complete loss of movement and sensation. The condition can significantly impact daily activities, independence, and quality of life, depending on the extent and cause of the paralysis.
Causes & Symptoms
Clinical Causes: Stroke or cerebrovascular accident Traumatic injury to the brain, spinal cord, or nerves supplying the upper limb Multiple sclerosis leading to nerve damage Brain tumors affecting motor areas Infections such as encephalitis or meningitis Neurodegenerative conditions like amyotrophic lateral sclerosis (ALS) Localized nerve injuries or nerve compression syndromes Congenital anomalies or developmental disorders Inflammatory diseases affecting nervous tissue Post-surgical complications
Key Symptoms: Weakness or inability to move the affected arm or hand Loss of muscle tone or paralysis in the upper limb Numbness, tingling, or sensation changes in the affected limb Difficulty with fine motor skills such as writing or grasping objects Difficulty lifting or holding objects Possible associated symptoms like facial weakness or other neurological deficits depending on the underlying cause Spasticity or increased muscle tone in some cases Potential pain or abnormal sensations
Diagnostic & Treatment
Diagnosis Path: Diagnosis of monoplegia of the upper limb involves a comprehensive neurological examination to assess muscle strength, reflexes, sensation, and coordination. Medical professionals may utilize various tests to determine the underlying cause, including: - Imaging studies such as Magnetic Resonance Imaging (MRI) or Computed Tomography (CT) scans - Electromyography (EMG) to evaluate nerve and muscle function - Blood tests to identify infections or inflammatory conditions - Specific neurological assessments Early and accurate diagnosis helps in tailoring appropriate management and rehabilitation strategies.
Treatment Protocols: Treatment approaches depend on the underlying cause of the paralysis and aim to maximize limb function and quality of life. Common interventions include: - Physical therapy to improve strength, flexibility, and motor skills - Occupational therapy to assist with daily activities - Medications to manage symptoms such as spasticity, pain, or underlying infections - Surgical options may be considered for nerve repair or decompression - Use of assistive devices like braces or splints to support limb function - Management of underlying conditions, such as controlling blood pressure after a stroke or treating multiple sclerosis Multidisciplinary care involving neurologists, physiotherapists, occupational therapists, and other specialists is essential for comprehensive management.
Clinical Advice & FAQs
Billing Guidance
Is G83.2 a billable ICD-10 code?
Yes, G83.2 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report G83.2?
Clinical documentation must specify the nature of Monoplegia of upper limb and any associated comorbidities for accurate reporting.
Cite this Clinical Reference
