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v1.0.0
ICD-10 Guide
ICD-10 CodesG82.2

G82.2

Billable

Paraplegia

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

Code Description

ICD-10 G82.2 is a billable code used to indicate a diagnosis of paraplegia.

Key Diagnostic Point:

Paraplegia is a condition characterized by the loss of motor and sensory function in the lower half of the body, typically resulting from spinal cord injury, disease, or congenital conditions. It can manifest as complete or incomplete paralysis, where complete paraplegia results in total loss of function, while incomplete paraplegia allows for some degree of movement or sensation. Common causes include trauma, such as accidents or falls, and diseases like multiple sclerosis or transverse myelitis. In individuals with cerebral palsy, paraplegia may arise due to brain injury during development, affecting mobility and coordination. Patients often experience significant mobility impairments, necessitating the use of assistive devices like wheelchairs. Rehabilitation and physical therapy are crucial for improving function and quality of life. The impact of paraplegia extends beyond physical limitations, often affecting psychological well-being and social interactions, making comprehensive care essential.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between complete and incomplete paraplegia
  • Identifying underlying causes (trauma vs. disease)
  • Documenting associated conditions (e.g., spasticity, neuropathic pain)
  • Understanding the impact of comorbidities on mobility

Audit Risk Factors

  • Inadequate documentation of the extent of paralysis
  • Failure to specify the underlying cause of paraplegia
  • Misclassification of paraplegia as quadriplegia
  • Omission of associated conditions that affect mobility

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, including motor and sensory assessments.

Common Clinical Scenarios

Patients with spinal cord injuries, multiple sclerosis, or congenital conditions presenting with lower limb paralysis.

Billing Considerations

Ensure clarity in documenting the cause and type of paraplegia to avoid misclassification.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive rehabilitation plans, including therapy goals and progress notes.

Common Clinical Scenarios

Patients undergoing rehabilitation post-spinal cord injury or those with chronic conditions affecting mobility.

Billing Considerations

Documenting functional limitations and the impact on daily living activities is crucial for accurate coding.

Coding Guidelines

Inclusion Criteria

Use G82.2 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the cause, type, and extent of paraplegia
  • Include any relevant comorbidities and associated conditions to support the diagnosis

Exclusion Criteria

Do NOT use G82.2 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

97110CPT Code

Therapeutic exercises

Clinical Scenario

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

Documentation Requirements

Document the specific exercises performed and the patient's response.

Specialty Considerations

Physical therapists should provide detailed notes on progress and functional improvements.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of paraplegia, enabling better tracking of patient outcomes and resource allocation. It has improved the granularity of data for research and quality improvement initiatives.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of paraplegia, enabling better tracking of patient outcomes and resource allocation. It has improved the granularity of data for research and quality improvement initiatives.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of paraplegia, enabling better tracking of patient outcomes and resource allocation. It has improved the granularity of data for research and quality improvement initiatives.

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 paraplegia?

Complete paraplegia refers to total loss of motor and sensory function below the level of injury, while incomplete paraplegia indicates some preserved function or sensation.