Question:
-- Massachusetts Subscriber
Answer: Nursing is not involved, so you should list the appropriate therapy V code as primary.Remember, the V57.x (Care involving the use of rehabilitation procedures) codes can only be listed as primary, and should be used in therapy-only situations.
You'll use 438.x (Late effects of cerebrovascular disease) codes to indicate the late effects of cerebrovascular disease.
For this patient, list:
M0230a: V57.89 (Multiple training or therapy);
M0240b: 438.21 (Late effects of cerebrovascular disease; hemiplegia affecting dominant side);
M0240c: 438.84 (Other late effects of cerebrovascular disease; ataxia); and
M0240d: 438.11 (Late effects of cerebrovascular disease; speech and language deficits; aphasia).