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CPT® Assistant is the official word from the AMA on proper CPT® code usage. AAPC Coder's Code Connect add-on allows you to search all CPT® Assistant articles from 1990 to present by CPT® code to narrow the options to only related articles for quick coding guidance.

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Coding Clinic
The HCPCS Coding Clinic delivers the official guidance published quarterly by the American Hospital Association (AHA) Central Office on correct HCPCS level II code usage. Each issue offers consistent and accurate advice for the proper use of HCPCS and includes information on HCPCS reporting for hospitals HCPCS Level 1 (CPT®) and Level II codes, the latest code assignments from emerging technologies, and real examples.

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Other paralytic syndrome bilateral (438.53)

ICD-9 code 438.53 for Other paralytic syndrome bilateral is a medical classification as listed by WHO under the range -CEREBROVASCULAR DISEASE (430-438).

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Code Descriptor and Instructional Notes
Other paralytic syndrome bilateral

Use additional code to identify type of paralytic syndrome, such as:

locked-in state (344.81)

quadriplegia (344.00-344.09)

Excludes: late effects of cerebrovascular accident with:

hemiplegia/hemiparesis (438.20-438.22)

monoplegia of lower limb (438.40-438.42)

monoplegia of upper limb (438.40-438.42)

Note: This category is to be used to indicate conditions in 430-437 as the cause of late effects. The "late effects" include conditions specified as such, or as sequelae, which may occur at any time after the onset of the causal condition.

Excludes: personal history of:

cerebral infarction without residual deficits (V12.54)

PRIND (Prolonged reversible ischemic neurologic deficit) (V12.54)

RIND (Reversible ischemic neurological deficit) (V12.54)

transient ischemic attack (TIA) (V12.54)

ICD-9-CM Subcategories/Subclassifications
Category Notes
Chapter Specific Coding Guidelines
CC Exclusion List
Claims Edits
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