
 2012 ICD-9-CM Diagnosis Code 438.21 
Late effects of cerebrovascular disease, hemiplegia affecting dominant side
- Short description: Late ef-hemplga dom side.
- ICD-9-CM 438.21 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 438.21 should only be used for claims with a date of service on or before September 30, 2015. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes).
- You are viewing the 2012 version of ICD-9-CM 438.21.
- More recent version(s) of ICD-9-CM 438.21: 2013 2014 2015.
Convert to ICD-10-CM: 
438.21 converts approximately to:
- 2015/16 ICD-10-CM I69.951 Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting right dominant sideOr: 
- 2015/16 ICD-10-CM I69.952 Hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting left dominant side
 Approximate Synonyms
- Hemiparesis/hemiplegia (one sided weakness/paralysis)
- Hemiplegia & hemiparesis, late effect of stroke, L dominant side
- Hemiplegia & hemiparesis, late effect of stroke, R dominant side
- Hemiplegia & hemiparesis, left dominant side, late effect of cerebrovascular disease
- Hemiplegia & hemiparesis, left dominant side, late effect of embolic stroke
- Hemiplegia & hemiparesis, left dominant side, late effect of hemorrhagic stroke
- Hemiplegia & hemiparesis, left dominant side, late effect of intracerebral hemorrhage
- Hemiplegia & hemiparesis, left dominant side, late effect of ischemic stroke
- Hemiplegia & hemiparesis, left dominant side, late effect of stroke
- Hemiplegia & hemiparesis, left dominant side, late effect of subarachnoid hemorrhage
- Hemiplegia & hemiparesis, right dominant side, late effect of cerebrovascular disease
- Hemiplegia & hemiparesis, right dominant side, late effect of embolic stroke
- Hemiplegia & hemiparesis, right dominant side, late effect of hemorrhagic stroke
- Hemiplegia & hemiparesis, right dominant side, late effect of intracerebral hemorrhage
- Hemiplegia & hemiparesis, right dominant side, late effect of ischemic stroke
- Hemiplegia & hemiparesis, right dominant side, late effect of stroke
- Hemiplegia & hemiparesis, right dominant side, late effect of subarachnoid hemorrhage
- Hemiplegia (paralysis on one side) due to stroke
- Hemiplegia (paralysis) from stroke
- Hemiplegia and hemiparesis of left dominant side as late effect of cerebrovascular accident
- Hemiplegia and hemiparesis of left dominant side as late effect of cerebrovascular disease
- Hemiplegia and hemiparesis of left dominant side as late effect of embolic cerebrovascular accident
- Hemiplegia and hemiparesis of left dominant side as late effect of hemorrhagic cerebrovascular accident
- Hemiplegia and hemiparesis of left dominant side as late effect of intracerebral hemorrhage
- Hemiplegia and hemiparesis of left dominant side as late effect of ischemic cerebrovascular accident
- Hemiplegia and hemiparesis of left dominant side as late effect of subarachnoid hemorrhage
- Hemiplegia and hemiparesis of right dominant side as late effect of cerebrovascular accident
- Hemiplegia and hemiparesis of right dominant side as late effect of cerebrovascular disease
- Hemiplegia and hemiparesis of right dominant side as late effect of embolic cerebrovascular accident
- Hemiplegia and hemiparesis of right dominant side as late effect of hemorrhagic cerebrovascular accident
- Hemiplegia and hemiparesis of right dominant side as late effect of intracerebral hemorrhage
- Hemiplegia and hemiparesis of right dominant side as late effect of ischemic cerebrovascular accident
- Hemiplegia and hemiparesis of right dominant side as late effect of subarachnoid hemorrhage
- Hemiplegia of dominant side as late effect of cerebrovascular disease
- Hemiplegia of dominant side as late effect of embolic cerebrovascular accident
- Hemiplegia of dominant side as late effect of hemorrhagic cerebrovascular accident
- Hemiplegia of dominant side as late effect of ischemic cerebrovascular accident
- Hemiplegia on dominant side, late effect of cerebrovascular disease
- Hemiplegia or hemiparesis of left dominant side following cerebral infarction (disorder)
- Hemiplegia or hemiparesis of right dominant side following cerebral infarction (disorder)
- Hemiplegia, dominant side, late effect of cerebrovascular disease
- Hemiplegia, dominant side, late effect of embolic stroke
- Hemiplegia, dominant side, late effect of hemorrhagic stroke
- Hemiplegia, dominant side, late effect of ischemic stroke
- Left hemiplegia and hemiparesis due to cerebrovascular disease of dominant side
ICD-9-CM Volume 2 Index entries containing back-references to 
438.21:
- Hemiplegia 342.9  apoplectic (see also Disease, cerebrovascular, acute) 436 apoplectic (see also Disease, cerebrovascular, acute) 436   late effect or residual late effect or residual   affecting affecting    dominant side 438.21 dominant side 438.21
    nondominant side 438.22 nondominant side 438.22 
    unspecified side 438.20 unspecified side 438.20 
 
 
 
  arteriosclerotic 437.0 arteriosclerotic 437.0   late effect or residual late effect or residual   affecting affecting    dominant side 438.21 dominant side 438.21
    nondominant side 438.22 nondominant side 438.22 
    unspecified side 438.20 unspecified side 438.20 
 
 
 
  due to due to  arteriosclerosis 437.0 arteriosclerosis 437.0    late effect or residual late effect or residual    affecting affecting     dominant side 438.21 dominant side 438.21
     nondominant side 438.22 nondominant side 438.22 
     unspecified side 438.20 unspecified side 438.20 
 
 
 
  cerebrovascular lesion (see also Disease, cerebrovascular, acute) 436 cerebrovascular lesion (see also Disease, cerebrovascular, acute) 436    late effect late effect    affecting affecting     dominant side 438.21 dominant side 438.21
     nondominant side 438.22 nondominant side 438.22 
     unspecified side 438.20 unspecified side 438.20 
 
 
 
 
  embolic (current) (see also Embolism, brain) 434.1 embolic (current) (see also Embolism, brain) 434.1   late effect late effect   affecting affecting    dominant side 438.21 dominant side 438.21
    nondominant side 438.22 nondominant side 438.22 
    unspecified side 438.20 unspecified side 438.20 
 
 
 
 
- Late - see also condition effect(s) (of) - see also condition effect(s) (of) - see also condition  abscess abscess   intracranial or intraspinal (conditions classifiable to 324 intracranial or intraspinal (conditions classifiable to 324 ) - see category 326 ) - see category 326 
 
  adverse effect of drug, medicinal or biological substance 909.5 adverse effect of drug, medicinal or biological substance 909.5 
  allergic reaction 909.9 allergic reaction 909.9 
  amputation amputation
  burn (injury classifiable to 948 burn (injury classifiable to 948 -949 -949 ) 906.9 ) 906.9    extremities NEC (injury classifiable to 943 extremities NEC (injury classifiable to 943 or 945 or 945 ) 906.7 ) 906.7     hand or wrist (injury classifiable to 944 hand or wrist (injury classifiable to 944 ) 906.6 ) 906.6 
 
   eye (injury classifiable to 940 eye (injury classifiable to 940 ) 906.5 ) 906.5 
   face, head, and neck (injury classifiable to 941 face, head, and neck (injury classifiable to 941 ) 906.5 ) 906.5 
   specified site NEC (injury classifiable to 942 specified site NEC (injury classifiable to 942 and 946 and 946 -947 -947 ) 906.8 ) 906.8 
 
  cerebrovascular disease (conditions classifiable to 430 cerebrovascular disease (conditions classifiable to 430 -437 -437 ) 438.9 ) 438.9 
  childbirth complication(s) 677 childbirth complication(s) 677 
  complication(s) of complication(s) of   childbirth 677 childbirth 677 
   delivery 677 delivery 677 
   pregnancy 677 pregnancy 677 
   puerperium 677 puerperium 677 
   surgical and medical care (conditions classifiable to 996 surgical and medical care (conditions classifiable to 996 -999 -999 ) 909.3 ) 909.3 
   trauma (conditions classifiable to 958 trauma (conditions classifiable to 958 ) 908.6 ) 908.6 
 
  contusion (injury classifiable to 920 contusion (injury classifiable to 920 -924 -924 ) 906.3 ) 906.3 
  crushing (injury classifiable to 925 crushing (injury classifiable to 925 -929 -929 ) 906.4 ) 906.4 
  delivery complication(s) 677 delivery complication(s) 677 
  dislocation (injury classifiable to 830 dislocation (injury classifiable to 830 -839 -839 ) 905.6 ) 905.6 
  encephalitis or encephalomyelitis (conditions classifiable to 323 encephalitis or encephalomyelitis (conditions classifiable to 323 ) - see category 326 ) - see category 326    in infectious diseases 139.8 in infectious diseases 139.8 
 
  external cause NEC (conditions classifiable to 995 external cause NEC (conditions classifiable to 995 ) 909.9 ) 909.9    certain conditions classifiable to categories 991 certain conditions classifiable to categories 991 -994 -994 909.4 909.4 
 
  foreign body in orifice (injury classifiable to 930 foreign body in orifice (injury classifiable to 930 -939 -939 ) 908.5 ) 908.5 
  fracture (multiple) (injury classifiable to 828 fracture (multiple) (injury classifiable to 828 -829 -829 ) 905.5 ) 905.5    extremity extremity
   face and skull (injury classifiable to 800 face and skull (injury classifiable to 800 -804 -804 ) 905.0 ) 905.0 
   skull and face (injury classifiable to 800 skull and face (injury classifiable to 800 -804 -804 ) 905.0 ) 905.0 
   spine and trunk (injury classifiable to 805 spine and trunk (injury classifiable to 805 and 807 and 807 -809 -809 ) 905.1 ) 905.1     with spinal cord lesion (injury classifiable to 806 with spinal cord lesion (injury classifiable to 806 ) 907.2 ) 907.2 
 
 
  infection infection   pyogenic, intracranial - see category 326 pyogenic, intracranial - see category 326 
 
  infectious diseases (conditions classifiable to 001 infectious diseases (conditions classifiable to 001 -136 -136 ) NEC 139.8 ) NEC 139.8 
  injury (injury classifiable to 959 injury (injury classifiable to 959 ) 908.9 ) 908.9    blood vessel 908.3 blood vessel 908.3     abdomen and pelvis (injury classifiable to 902 abdomen and pelvis (injury classifiable to 902 ) 908.4 ) 908.4 
    extremity (injury classifiable to 903 extremity (injury classifiable to 903 -904 -904 ) 908.3 ) 908.3 
    head and neck (injury classifiable to 900 head and neck (injury classifiable to 900 ) 908.3 ) 908.3 
    thorax (injury classifiable to 901 thorax (injury classifiable to 901 ) 908.4 ) 908.4 
 
   internal organ NEC (injury classifiable to 867 internal organ NEC (injury classifiable to 867 and 869 and 869 ) 908.2 ) 908.2 
   intracranial (injury classifiable to 850 intracranial (injury classifiable to 850 -854 -854 ) 907.0 ) 907.0 
   nerve NEC (injury classifiable to 957 nerve NEC (injury classifiable to 957 ) 907.9 ) 907.9     cranial (injury classifiable to 950 cranial (injury classifiable to 950 -951 -951 ) 907.1 ) 907.1 
    peripheral NEC (injury classifiable to 957 peripheral NEC (injury classifiable to 957 ) 907.9 ) 907.9      lower limb and pelvic girdle (injury classifiable to 956 lower limb and pelvic girdle (injury classifiable to 956 ) 907.5 ) 907.5 
     upper limb and shoulder girdle (injury classifiable to 955 upper limb and shoulder girdle (injury classifiable to 955 ) 907.4 ) 907.4 
 
    roots and plexus(es), spinal (injury classifiable to 953 roots and plexus(es), spinal (injury classifiable to 953 ) 907.3 ) 907.3 
    trunk (injury classifiable to 954 trunk (injury classifiable to 954 ) 907.3 ) 907.3 
 
   spinal spinal    cord (injury classifiable to 806 cord (injury classifiable to 806 and 952 and 952 ) 907.2 ) 907.2 
    nerve root(s) and plexus(es) (injury classifiable to 953 nerve root(s) and plexus(es) (injury classifiable to 953 ) 907.3 ) 907.3 
 
   superficial (injury classifiable to 910 superficial (injury classifiable to 910 -919 -919 ) 906.2 ) 906.2 
   tendon (tendon injury classifiable to 840 tendon (tendon injury classifiable to 840 -848 -848 , 880 , 880 -884 -884 with .2, and 890 with .2, and 890 -894 -894 with .2) 905.8 with .2) 905.8 
 
  meningitis meningitis   bacterial (conditions classifiable to 320 bacterial (conditions classifiable to 320 ) - see category 326 ) - see category 326 
   unspecified cause (conditions classifiable to 322 unspecified cause (conditions classifiable to 322 ) - see category 326 ) - see category 326 
 
  myelitis (see also Late, effect(s) (of), encephalitis) - see  326 myelitis (see also Late, effect(s) (of), encephalitis) - see  326 
  parasitic diseases (conditions classifiable to 001 parasitic diseases (conditions classifiable to 001 -136 -136 NEC) 139.8 NEC) 139.8 
  phlebitis or thrombophlebitis of intracranial venous sinuses (conditions classifiable to 325 phlebitis or thrombophlebitis of intracranial venous sinuses (conditions classifiable to 325 ) - see category 326 ) - see category 326 
  poisoning due to drug, medicinal or biological substance (conditions classifiable to 960 poisoning due to drug, medicinal or biological substance (conditions classifiable to 960 -979 -979 ) 909.0 ) 909.0 
  poliomyelitis, acute (conditions classifiable to 045 poliomyelitis, acute (conditions classifiable to 045 ) 138 ) 138 
  pregnancy complication(s) 677 pregnancy complication(s) 677 
  puerperal complication(s) 677 puerperal complication(s) 677 
  radiation (conditions classifiable to 990 radiation (conditions classifiable to 990 ) 909.2 ) 909.2 
  rickets 268.1 rickets 268.1 
  sprain and strain without mention of tendon injury (injury classifiable to 840 sprain and strain without mention of tendon injury (injury classifiable to 840 -848 -848 , except tendon injury) 905.7 , except tendon injury) 905.7 
  toxic effect of toxic effect of   drug, medicinal or biological substance (conditions classifiable to 960 drug, medicinal or biological substance (conditions classifiable to 960 -979 -979 ) 909.0 ) 909.0 
   nonmedical substance (conditions classifiable to 980 nonmedical substance (conditions classifiable to 980 -989 -989 ) 909.1 ) 909.1 
 
  trachoma (conditions classifiable to 076 trachoma (conditions classifiable to 076 ) 139.1 ) 139.1 
  tuberculosis 137.0 tuberculosis 137.0    bones and joints (conditions classifiable to 015 bones and joints (conditions classifiable to 015 ) 137.3 ) 137.3 
   central nervous system (conditions classifiable to 013 central nervous system (conditions classifiable to 013 ) 137.1 ) 137.1 
   genitourinary (conditions classifiable to 016 genitourinary (conditions classifiable to 016 ) 137.2 ) 137.2 
   pulmonary (conditions classifiable to 010 pulmonary (conditions classifiable to 010 -012 -012 ) 137.0 ) 137.0 
   specified organs NEC (conditions classifiable to 014 specified organs NEC (conditions classifiable to 014 , 017 , 017 -018 -018 ) 137.4 ) 137.4 
 
  viral encephalitis (conditions classifiable to 049.8 viral encephalitis (conditions classifiable to 049.8 , 049.9 , 049.9 , 062 , 062 -064 -064 ) 139.0 ) 139.0 
  wound, open wound, open