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v1.0.0
ICD-10 Guide
ICD-10 CodesG82.50

G82.50

Billable

Quadriplegia, unspecified

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

Code Description

ICD-10 G82.50 is a billable code used to indicate a diagnosis of quadriplegia, unspecified.

Key Diagnostic Point:

Quadriplegia, also known as tetraplegia, is a condition characterized by the paralysis of all four limbs and the torso, resulting from damage to the spinal cord or brain. This condition can arise from various causes, including traumatic injuries, congenital disorders, or diseases such as cerebral palsy. In cases of cerebral palsy, quadriplegia may result from brain injury during fetal development, birth, or early childhood, leading to significant mobility impairments. Patients with quadriplegia often experience a range of complications, including muscle atrophy, spasticity, and respiratory issues, which can further complicate their care. The severity of quadriplegia can vary, with some individuals retaining partial movement or sensation, while others may have complete loss of function. Accurate coding is essential for appropriate treatment planning and resource allocation, as well as for ensuring that patients receive the necessary rehabilitation and support services.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity of quadriplegia
  • Differentiation from other types of paralysis (e.g., paraplegia)
  • Potential overlap with other neurological conditions
  • Need for comprehensive documentation to support the diagnosis

Audit Risk Factors

  • Inadequate documentation of the extent of paralysis
  • Failure to specify the underlying cause of quadriplegia
  • Misclassification of quadriplegia as paraplegia
  • Lack of supporting evidence for mobility impairments

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological assessments, imaging studies, and treatment plans.

Common Clinical Scenarios

Patients presenting with acute spinal cord injuries, chronic neurological conditions, or post-stroke rehabilitation.

Billing Considerations

Neurologists must document the specific neurological deficits and their impact on mobility and daily functioning.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive evaluations of functional status, mobility assessments, and rehabilitation goals.

Common Clinical Scenarios

Patients requiring rehabilitation after spinal cord injury or those with progressive neurological diseases.

Billing Considerations

Focus on functional outcomes and the impact of quadriplegia on quality of life.

Coding Guidelines

Inclusion Criteria

Use G82.50 When
  • According to the ICD
  • CM coding guidelines, G82
  • 50 should be used when quadriplegia is diagnosed but the specific cause is not documented
  • Coders must ensure that the diagnosis is supported by clinical documentation and that any underlying conditions are also coded appropriately

Exclusion Criteria

Do NOT use G82.50 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

97110CPT Code

Therapeutic exercises

Clinical Scenario

Used in rehabilitation for patients with quadriplegia to improve strength and mobility.

Documentation Requirements

Documentation of the patient's functional status and goals for therapy.

Specialty Considerations

Physical therapists should document progress and response to therapy.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of quadriplegia, improving the ability to capture the complexity of the condition and its impact on patient care. This specificity aids in better resource allocation and treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of quadriplegia, improving the ability to capture the complexity of the condition and its impact on patient care. This specificity aids in better resource allocation and treatment planning.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of quadriplegia, improving the ability to capture the complexity of the condition and its impact on patient care. This specificity aids in better resource allocation and treatment planning.

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 quadriplegia and paraplegia?

Quadriplegia refers to paralysis affecting all four limbs, while paraplegia affects only the lower limbs. The underlying causes and treatment approaches may differ significantly.