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ICD-10 Guide
ICD-10 CodesChapter 6: Diseases of the nervous systemG82

G82

Billable

Paraplegia (paraparesis) and quadriplegia (quadriparesis)

Chapter 6:Diseases of the nervous system

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

Code Description

ICD-10 G82 is a billable code used to indicate a diagnosis of paraplegia (paraparesis) and quadriplegia (quadriparesis).

Key Diagnostic Point:

Paraplegia and quadriplegia are conditions characterized by the loss of motor function and sensation in the lower limbs (paraplegia) or all four limbs (quadriplegia). These conditions can arise from various etiologies, including traumatic spinal cord injuries, congenital disorders, and neurological diseases such as cerebral palsy. Paraplegia typically results from damage to the thoracic, lumbar, or sacral regions of the spinal cord, while quadriplegia results from damage to the cervical spinal cord. Patients may experience varying degrees of mobility impairment, muscle weakness, and loss of bladder and bowel control. The severity of these conditions can significantly impact the patient's quality of life, necessitating comprehensive rehabilitation and support services. Accurate coding is essential for appropriate management and reimbursement, as well as for tracking the prevalence and outcomes of these disabilities in clinical practice.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between paraplegia and quadriplegia based on clinical documentation.
  • Understanding the underlying causes and associated conditions.
  • Navigating the nuances of mobility impairments and their impact on daily living.
  • Ensuring accurate documentation of the extent and severity of paralysis.

Audit Risk Factors

  • Inadequate documentation of the level of paralysis.
  • Failure to specify the type of paralysis (paraplegia vs. quadriplegia).
  • Misclassification of mobility impairments.
  • Lack of supporting clinical evidence for the diagnosis.

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

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

Common Clinical Scenarios

Patients with spinal cord injuries, multiple sclerosis, or cerebral palsy presenting with paralysis.

Billing Considerations

Ensure comprehensive documentation of neurological deficits and their impact on mobility.

Rehabilitation Medicine

Documentation Requirements

Functional assessments, rehabilitation goals, and progress notes.

Common Clinical Scenarios

Patients undergoing rehabilitation post-spinal cord injury or stroke.

Billing Considerations

Documenting the patient's functional status and rehabilitation outcomes is crucial for accurate coding.

Coding Guidelines

Inclusion Criteria

Use G82 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the type and extent of paralysis
  • Include any relevant co
  • morbidities and specify the cause of paralysis when applicable

Exclusion Criteria

Do NOT use G82 When
No specific exclusions found.

Related CPT Codes

97110CPT Code

Therapeutic exercises

Clinical Scenario

Used in rehabilitation for patients with paraplegia or quadriplegia.

Documentation Requirements

Document the type and duration of exercises performed.

Specialty Considerations

Rehabilitation specialists should ensure that therapy goals align with the patient's functional status.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of paralysis types, improving the accuracy of data collection and reimbursement processes. It has also facilitated 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 paralysis types, improving the accuracy of data collection and reimbursement processes. It has also facilitated better tracking of patient outcomes and resource allocation.

Reimbursement & Billing Impact

reimbursement processes. It has also facilitated better tracking of patient outcomes 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 paraplegia and quadriplegia?

Paraplegia refers to paralysis affecting the lower limbs, while quadriplegia involves paralysis of all four limbs. The distinction is crucial for accurate coding and treatment planning.