ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesG82.54

G82.54

Billable

Quadriplegia, C5-C7 incomplete

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

Code Description

ICD-10 G82.54 is a billable code used to indicate a diagnosis of quadriplegia, c5-c7 incomplete.

Key Diagnostic Point:

Quadriplegia, specifically classified as C5-C7 incomplete, refers to a form of paralysis that affects all four limbs due to an incomplete spinal cord injury at the cervical levels C5 to C7. This condition results in varying degrees of motor and sensory function loss, with patients often retaining some movement and sensation in their upper extremities, depending on the severity of the injury. Individuals with C5-C7 incomplete quadriplegia may experience significant mobility impairments, affecting their ability to perform daily activities independently. The incomplete nature of the injury indicates that some neural pathways remain intact, allowing for partial function. Common complications associated with this condition include spasticity, muscle weakness, and potential respiratory issues due to compromised diaphragm function. Rehabilitation and physical therapy are crucial for maximizing functional independence and improving quality of life. Patients may also require assistive devices for mobility and activities of daily living. Understanding the nuances of this condition is essential for accurate coding and appropriate care planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity of symptoms
  • Need for precise documentation of neurological function
  • Differentiation from complete quadriplegia and other types of paralysis
  • Potential for co-existing conditions that may complicate coding

Audit Risk Factors

  • Inadequate documentation of neurological assessments
  • Failure to specify the level of injury
  • Misclassification of incomplete versus complete quadriplegia
  • Inconsistent use of terminology in clinical notes

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, including motor and sensory assessments.

Common Clinical Scenarios

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

Billing Considerations

Ensure clarity in documenting the extent of motor function retained and any associated complications.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive rehabilitation plans, including therapy goals and progress notes.

Common Clinical Scenarios

Patients undergoing rehabilitation for mobility improvement and functional independence.

Billing Considerations

Document specific interventions and patient responses to therapy to support coding.

Coding Guidelines

Inclusion Criteria

Use G82.54 When
  • Follow official ICD
  • 10 guidelines for coding spinal cord injuries, ensuring to document the level of injury and completeness
  • Include any relevant co
  • morbidities that may impact treatment and recovery

Exclusion Criteria

Do NOT use G82.54 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

97110CPT Code

Therapeutic exercises

Clinical Scenario

Used in conjunction with rehabilitation for improving strength and mobility.

Documentation Requirements

Document specific exercises performed and patient progress.

Specialty Considerations

Physical therapy notes should align with the diagnosis for accurate billing.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 allows for more precise coding of spinal cord injuries, improving the ability to capture the nuances of incomplete injuries like G82.54, which can lead to better patient management and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 allows for more precise coding of spinal cord injuries, improving the ability to capture the nuances of incomplete injuries like G82.54, which can lead to better patient management and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 allows for more precise coding of spinal cord injuries, improving the ability to capture the nuances of incomplete injuries like G82.54, which can lead to better patient management and resource allocation.

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 level of injury, while incomplete quadriplegia means some function remains, allowing for varying degrees of movement and sensation.