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v1.0.0
ICD-10 Guide
ICD-10 CodesG82.53

G82.53

Billable

Quadriplegia, C5-C7 complete

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

Code Description

ICD-10 G82.53 is a billable code used to indicate a diagnosis of quadriplegia, c5-c7 complete.

Key Diagnostic Point:

Quadriplegia, also known as tetraplegia, refers to the paralysis of all four limbs and the torso, resulting from an injury or disease affecting the spinal cord at the cervical level. Specifically, G82.53 indicates a complete injury at the C5-C7 vertebrae, which means that there is a total loss of motor and sensory function below the level of the injury. Patients with this condition often experience significant mobility impairments, requiring assistance with daily activities and mobility aids. The C5-C7 region is crucial for upper limb function; thus, individuals may retain some shoulder and elbow movement but will lack hand function. This condition can arise from various causes, including traumatic injuries (such as car accidents or falls), congenital conditions, or diseases like multiple sclerosis. Management typically involves a multidisciplinary approach, including physical therapy, occupational therapy, and sometimes surgical interventions. The prognosis varies widely based on the extent of the injury and the individual’s overall health, with many requiring long-term care and rehabilitation to maximize their functional independence.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Need for precise documentation of injury level and completeness
  • Differentiation between complete and incomplete injuries
  • Potential for co-existing conditions affecting mobility
  • Variability in patient presentation and functional status

Audit Risk Factors

  • Inadequate documentation of injury specifics
  • Failure to note co-existing conditions
  • Misclassification of injury completeness
  • Lack of interdisciplinary notes in patient records

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, imaging results, and functional assessments.

Common Clinical Scenarios

Patients presenting with acute spinal cord injuries, follow-up assessments for rehabilitation progress.

Billing Considerations

Ensure clarity in documenting the level of injury and any neurological deficits.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive rehabilitation plans, progress notes, and functional assessments.

Common Clinical Scenarios

Rehabilitation evaluations post-injury, ongoing therapy assessments.

Billing Considerations

Documenting the patient's functional status and goals for rehabilitation is critical.

Coding Guidelines

Inclusion Criteria

Use G82.53 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the injury's level and completeness
  • Include any relevant co
  • morbidities and functional limitations

Exclusion Criteria

Do NOT use G82.53 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

97110CPT Code

Therapeutic exercises

Clinical Scenario

Used in conjunction with G82.53 for rehabilitation therapy.

Documentation Requirements

Document the type and duration of exercises performed.

Specialty Considerations

Physical therapy documentation should reflect the patient's progress and goals.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 allows for more specific coding of quadriplegia, improving the accuracy of patient records and facilitating better care management.

ICD-9 vs ICD-10

The transition to ICD-10 allows for more specific coding of quadriplegia, improving the accuracy of patient records and facilitating better care management.

Reimbursement & Billing Impact

The transition to ICD-10 allows for more specific coding of quadriplegia, improving the accuracy of patient records and facilitating better care management.

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 quadriplegia?

Complete quadriplegia indicates total loss of motor and sensory function below the injury level, while incomplete quadriplegia means some function remains.