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ICD-10 Guide
ICD-10 CodesG82.22

G82.22

Billable

Paraplegia, incomplete

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

Code Description

ICD-10 G82.22 is a billable code used to indicate a diagnosis of paraplegia, incomplete.

Key Diagnostic Point:

Paraplegia, incomplete, refers to a condition characterized by partial loss of motor and/or sensory function in the lower extremities due to damage to the spinal cord. This condition can arise from various causes, including traumatic injuries, congenital disorders, or diseases such as multiple sclerosis. Incomplete paraplegia indicates that some sensory or motor function remains below the level of injury, which can vary significantly among individuals. Patients may experience varying degrees of mobility impairment, with some retaining the ability to walk with assistance or adaptive devices. The clinical presentation can include spasticity, weakness, and altered sensation in the legs, which can impact daily activities and quality of life. Rehabilitation and physical therapy are often integral to management, focusing on maximizing independence and mobility. Understanding the nuances of incomplete paraplegia is crucial for accurate coding, as it influences treatment plans and healthcare resource allocation.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity of symptoms
  • Differentiation between complete and incomplete paraplegia
  • Need for detailed documentation of functional status
  • Potential overlap with other neurological conditions

Audit Risk Factors

  • Inadequate documentation of functional status
  • Failure to specify the level of spinal cord injury
  • Misclassification of complete vs. incomplete paraplegia
  • Lack of supporting evidence for therapy services

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, including sensory and motor assessments.

Common Clinical Scenarios

Patients presenting with spinal cord injuries, multiple sclerosis, or other neurological disorders affecting mobility.

Billing Considerations

Ensure clear documentation of the level of injury and retained functions to support coding.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive rehabilitation plans, progress notes, and functional assessments.

Common Clinical Scenarios

Patients undergoing rehabilitation post-spinal cord injury or those with chronic mobility impairments.

Billing Considerations

Documenting the patient's progress and response to therapy is crucial for accurate coding.

Coding Guidelines

Inclusion Criteria

Use G82.22 When
  • According to ICD
  • 10 guidelines, G82
  • 22 should be used when there is clear documentation of incomplete paraplegia
  • Coders must ensure that the documentation specifies the level of injury and any retained function

Exclusion Criteria

Do NOT use G82.22 When
  • Exclusion criteria include conditions that do not meet the definition of paraplegia

Related ICD-10 Codes

Related CPT Codes

97110CPT Code

Therapeutic exercises

Clinical Scenario

Used for rehabilitation of patients with incomplete paraplegia.

Documentation Requirements

Document the specific exercises and patient progress.

Specialty Considerations

Physical therapy documentation must align with the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like incomplete paraplegia, improving the accuracy of patient records and treatment plans. It has also enhanced the ability to track outcomes and resource utilization.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like incomplete paraplegia, improving the accuracy of patient records and treatment plans. It has also enhanced the ability to track outcomes and resource utilization.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like incomplete paraplegia, improving the accuracy of patient records and treatment plans. It has also enhanced the ability to track outcomes and resource utilization.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between complete and incomplete paraplegia?

Complete paraplegia indicates total loss of motor and sensory function below the level of injury, while incomplete paraplegia means that some function remains, which can vary widely among individuals.