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ICD-10 Guide
ICD-10 CodesG04.82

G04.82

Billable

Acute flaccid myelitis

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 G04.82 is a billable code used to indicate a diagnosis of acute flaccid myelitis.

Key Diagnostic Point:

Acute flaccid myelitis (AFM) is a rare but serious neurological condition characterized by sudden onset of weakness in one or more limbs, often accompanied by neck stiffness, pain, and respiratory difficulties. AFM primarily affects children and is associated with viral infections, particularly enteroviruses, including enterovirus D68. The condition leads to inflammation of the spinal cord's gray matter, resulting in flaccid paralysis. Diagnosis is typically made through clinical evaluation, MRI imaging, and lumbar puncture to analyze cerebrospinal fluid (CSF). The clinical presentation may mimic other neurological disorders, making differential diagnosis crucial. AFM can lead to long-term disability, and while some patients may recover, others may experience persistent weakness or other complications. The exact etiology remains under investigation, with ongoing research into the role of viral infections and immune responses in the pathogenesis of AFM.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differential diagnosis with other neurological conditions
  • Need for precise documentation of clinical findings
  • Variability in clinical presentation among patients
  • Potential for co-occurring infections or conditions

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to specify the viral etiology
  • Misclassification with other neurological disorders
  • Lack of supporting imaging or laboratory results

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, imaging results, and laboratory tests.

Common Clinical Scenarios

Diagnosis of AFM following a viral infection, evaluation of limb weakness, and management of respiratory complications.

Billing Considerations

Neurologists must document the onset of symptoms, progression, and any interventions undertaken.

Pediatrics

Documentation Requirements

History of recent viral infections, physical examination details, and developmental assessments.

Common Clinical Scenarios

Pediatric patients presenting with sudden limb weakness after a viral illness.

Billing Considerations

Pediatricians should emphasize the child's developmental history and any associated symptoms.

Coding Guidelines

Inclusion Criteria

Use G04.82 When
  • According to ICD
  • 10 coding guidelines, G04
  • 82 should be used when the clinical documentation supports a diagnosis of acute flaccid myelitis with specific viral etiology

Exclusion Criteria

Do NOT use G04.82 When
  • Exclusion criteria include other specified causes of acute flaccid paralysis

Related ICD-10 Codes

Related CPT Codes

99214CPT Code

Office or other outpatient visit, established patient

Clinical Scenario

Used for follow-up visits after AFM diagnosis.

Documentation Requirements

Detailed history, examination findings, and treatment plan.

Specialty Considerations

Neurologists and pediatricians should document ongoing assessments and interventions.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of acute flaccid myelitis, improving data collection and research opportunities. It has also emphasized the need for detailed documentation to support the diagnosis.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of acute flaccid myelitis, improving data collection and research opportunities. It has also emphasized the need for detailed documentation to support the diagnosis.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of acute flaccid myelitis, improving data collection and research opportunities. It has also emphasized the need for detailed documentation to support the diagnosis.

Resources

Clinical References

  • •
    CDC Acute Flaccid Myelitis Information

Coding & Billing References

  • •
    CDC Acute Flaccid Myelitis Information

Frequently Asked Questions

What are the common symptoms of acute flaccid myelitis?

Common symptoms include sudden weakness in limbs, neck stiffness, pain, and respiratory difficulties, often following a viral infection.