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ICD-10 Guide
ICD-10 CodesG83.3

G83.3

Billable

Monoplegia, unspecified

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

Code Description

ICD-10 G83.3 is a billable code used to indicate a diagnosis of monoplegia, unspecified.

Key Diagnostic Point:

Monoplegia, unspecified, refers to paralysis affecting a single limb, which can result from various neurological conditions, including cerebral palsy, stroke, or traumatic brain injury. This condition is characterized by the loss of voluntary movement and muscle control in one limb, leading to significant mobility impairments. In the context of cerebral palsy, monoplegia may occur when there is damage to specific areas of the brain responsible for motor function, resulting in weakness or paralysis of one arm or leg. Patients may experience difficulties with coordination, balance, and performing daily activities, which can impact their quality of life. The severity of monoplegia can vary, with some individuals retaining partial movement or strength, while others may have complete paralysis. Treatment often involves physical therapy, occupational therapy, and sometimes surgical interventions to improve function and mobility. Accurate coding of monoplegia is essential for appropriate management and reimbursement, as it helps healthcare providers understand the extent of the patient's condition and tailor interventions accordingly.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

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

Audit Risk Factors

  • Inadequate documentation of the specific limb affected.
  • Failure to specify the underlying cause of monoplegia.
  • 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, imaging results, and history of the condition.

Common Clinical Scenarios

Patients presenting with sudden onset of limb weakness or chronic conditions like cerebral palsy.

Billing Considerations

Ensure clarity in documenting the cause of monoplegia and any associated neurological deficits.

Physical Medicine and Rehabilitation

Documentation Requirements

Functional assessments, treatment plans, and progress notes detailing rehabilitation efforts.

Common Clinical Scenarios

Rehabilitation following stroke or traumatic brain injury leading to monoplegia.

Billing Considerations

Documenting the impact of monoplegia on daily activities and the patient's rehabilitation goals.

Coding Guidelines

Inclusion Criteria

Use G83.3 When
  • According to ICD
  • 10 guidelines, G83
  • 3 should be used when the specific limb affected is not documented
  • Coders should ensure that the underlying cause of monoplegia is clearly stated in the medical record to support the diagnosis

Exclusion Criteria

Do NOT use G83.3 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 goals for therapy.

Specialty Considerations

Physical therapy notes should clearly outline the treatment plan and progress.

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 granularity of data for healthcare providers and payers. This specificity aids in better understanding patient populations and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like monoplegia, improving the granularity of data for healthcare providers and payers. This specificity aids in better understanding patient populations and treatment outcomes.

Reimbursement & Billing Impact

reimbursement and to reflect the complexity of care provided.

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 of a single limb, while hemiplegia involves paralysis of one side of the body, affecting both the arm and leg on that side.