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ICD-10 Guide
ICD-10 CodesG83.10

G83.10

Billable

Monoplegia of lower limb affecting unspecified side

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

Code Description

ICD-10 G83.10 is a billable code used to indicate a diagnosis of monoplegia of lower limb affecting unspecified side.

Key Diagnostic Point:

Monoplegia of the lower limb is a condition characterized by paralysis affecting one leg, resulting from various neurological disorders, including cerebral palsy, stroke, or traumatic brain injury. This condition can lead to significant mobility impairments, as the affected limb may exhibit weakness or complete loss of voluntary movement. In cases of cerebral palsy, monoplegia may arise due to brain damage occurring during fetal development or shortly after birth, affecting motor control and coordination. Patients may experience difficulties with balance, walking, and performing daily activities, necessitating rehabilitation and supportive therapies. The unspecified side designation indicates that the documentation does not specify which limb is affected, which can complicate treatment planning and coding accuracy. Understanding the underlying cause of the monoplegia is crucial for appropriate management and coding, as it may influence the choice of interventions and the prognosis for recovery.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Unspecified side complicates treatment planning.
  • Differentiation from other types of paralysis is necessary.
  • Requires understanding of underlying neurological conditions.
  • Documentation must clearly indicate the nature of the paralysis.

Audit Risk Factors

  • Inadequate documentation of the affected limb.
  • Failure to specify the underlying cause of paralysis.
  • Misclassification of the type of paralysis.
  • Lack of supporting clinical evidence for the diagnosis.

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, including motor function assessment.

Common Clinical Scenarios

Patients with stroke or traumatic brain injury presenting with monoplegia.

Billing Considerations

Ensure clear documentation of the neurological assessment and any imaging studies performed.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive rehabilitation plans and progress notes detailing functional assessments.

Common Clinical Scenarios

Patients undergoing rehabilitation for mobility impairments due to monoplegia.

Billing Considerations

Document specific therapies and interventions tailored to the patient's needs.

Coding Guidelines

Inclusion Criteria

Use G83.10 When
  • According to ICD
  • 10 coding guidelines, G83
  • 10 should be used when there is clear documentation of monoplegia affecting one lower limb without specification of the side
  • It is important to ensure that the diagnosis is supported by clinical findings and that any underlying conditions are also documented

Exclusion Criteria

Do NOT use G83.10 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

97110CPT Code

Therapeutic exercises

Clinical Scenario

Used for rehabilitation of patients with monoplegia to improve strength and mobility.

Documentation Requirements

Documentation of the patient's functional limitations and progress notes.

Specialty Considerations

Physical therapists should document specific exercises and patient responses.

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 monoplegia, improving the accuracy of diagnoses and treatment planning. This specificity aids in better tracking of patient outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like monoplegia, improving the accuracy of diagnoses and treatment planning. This specificity aids in better tracking of patient outcomes and resource allocation.

Reimbursement & Billing Impact

reimbursement and compliance with payer requirements.

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 monoplegia and hemiplegia?

Monoplegia refers to paralysis affecting one limb, while hemiplegia affects one side of the body, including both the arm and leg on that side.