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ICD-10 Guide
ICD-10 CodesG83.30

G83.30

Billable

Monoplegia, unspecified affecting unspecified side

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

Code Description

ICD-10 G83.30 is a billable code used to indicate a diagnosis of monoplegia, unspecified affecting unspecified side.

Key Diagnostic Point:

Monoplegia refers to paralysis affecting a single limb, which can occur due to various neurological conditions, including cerebral palsy, stroke, or traumatic brain injury. In the case of G83.30, the paralysis is unspecified, meaning the exact limb affected and the underlying cause are not clearly defined. This condition can lead to significant mobility impairments, impacting the patient's ability to perform daily activities. In children, monoplegia may be associated with cerebral palsy, where motor function is affected due to brain damage occurring before, during, or shortly after birth. In adults, it may result from a stroke or other neurological disorders. The lack of specification regarding the side affected complicates treatment and rehabilitation planning, as interventions may vary significantly based on whether the left or right limb is involved. Understanding the underlying cause is crucial for effective management and rehabilitation, as it influences the prognosis and potential for recovery.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Unspecified nature of the condition complicates treatment planning.
  • Variability in underlying causes requires thorough documentation.
  • Potential for misclassification with other types of paralysis.
  • Need for detailed clinical information to support the diagnosis.

Audit Risk Factors

  • Inadequate documentation of the specific limb affected.
  • Failure to specify the underlying cause of paralysis.
  • Misuse of unspecified codes leading to potential denials.
  • Inconsistent clinical notes regarding patient mobility.

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, imaging results, and history of present illness.

Common Clinical Scenarios

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

Billing Considerations

Ensure clarity on the affected limb and underlying cause to avoid unspecified coding.

Physical Medicine and Rehabilitation

Documentation Requirements

Functional assessments, therapy progress notes, and treatment plans.

Common Clinical Scenarios

Rehabilitation following stroke or traumatic brain injury affecting a single limb.

Billing Considerations

Documenting the impact on mobility and daily activities is crucial for accurate coding.

Coding Guidelines

Inclusion Criteria

Use G83.30 When
  • According to ICD
  • 10 coding guidelines, G83
  • 30 should be used when the specific limb affected is not documented
  • Coders should ensure that all relevant clinical information is captured to support the diagnosis and treatment plan

Exclusion Criteria

Do NOT use G83.30 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 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 specificity in coding, but the use of unspecified codes like G83.30 can lead to challenges in reimbursement and care planning. Coders must ensure that they capture as much detail as possible to support the diagnosis and treatment.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specificity in coding, but the use of unspecified codes like G83.30 can lead to challenges in reimbursement and care planning. Coders must ensure that they capture as much detail as possible to support the diagnosis and treatment.

Reimbursement & Billing Impact

reimbursement and care planning. Coders must ensure that they capture as much detail as possible to support the diagnosis and treatment.

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 a single limb, while hemiplegia affects one side of the body, typically involving both the arm and leg on that side.