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v1.0.0
ICD-10 Guide
ICD-10 CodesG82.52

G82.52

Billable

Quadriplegia, C1-C4 incomplete

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

Code Description

ICD-10 G82.52 is a billable code used to indicate a diagnosis of quadriplegia, c1-c4 incomplete.

Key Diagnostic Point:

Quadriplegia, specifically classified as C1-C4 incomplete, refers to a condition where there is partial loss of motor function and sensation in all four limbs due to spinal cord injury at the cervical level. This type of quadriplegia indicates that the spinal cord is not completely severed, allowing for some degree of movement and sensation below the level of injury. Patients may retain some function in their arms and hands, but typically experience significant mobility impairments, affecting their ability to perform daily activities. The degree of impairment can vary widely among individuals, influenced by the extent of the injury and the specific neurological pathways that remain intact. Individuals with C1-C4 incomplete quadriplegia often require comprehensive rehabilitation services, including physical therapy, occupational therapy, and assistive devices to enhance mobility and independence. The condition can also lead to secondary complications such as respiratory issues, pressure sores, and urinary tract infections, necessitating ongoing medical management. Understanding the nuances of this diagnosis is crucial for accurate coding and appropriate care planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation among patients
  • Need for precise documentation of neurological function
  • Differentiation from complete quadriplegia
  • Potential for co-existing conditions affecting mobility

Audit Risk Factors

  • Inadequate documentation of neurological assessments
  • Failure to specify the level of injury
  • Misclassification as complete quadriplegia
  • Lack of evidence for co-existing conditions

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, including motor and sensory assessments.

Common Clinical Scenarios

Patients presenting with acute spinal cord injuries, follow-up assessments for rehabilitation progress.

Billing Considerations

Ensure clarity in documenting the extent of motor function and any improvements over time.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive rehabilitation plans, including therapy goals and progress notes.

Common Clinical Scenarios

Rehabilitation assessments post-injury, ongoing therapy evaluations.

Billing Considerations

Document functional outcomes and assistive device needs to support coding.

Coding Guidelines

Inclusion Criteria

Use G82.52 When
  • According to ICD
  • 10 coding guidelines, G82
  • 52 should be used when the clinical documentation specifies quadriplegia with incomplete injury at the C1
  • C4 level
  • Coders must ensure that the documentation supports the diagnosis and reflects the patient's functional status

Exclusion Criteria

Do NOT use G82.52 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

97110CPT Code

Therapeutic exercises

Clinical Scenario

Used in rehabilitation for improving strength and mobility.

Documentation Requirements

Document specific exercises performed and patient response.

Specialty Considerations

Physical therapy notes should detail progress and modifications.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more precise coding of quadriplegia, enabling better tracking of patient outcomes and resource allocation. G82.52 provides specificity that was lacking in ICD-9, improving the accuracy of health data.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more precise coding of quadriplegia, enabling better tracking of patient outcomes and resource allocation. G82.52 provides specificity that was lacking in ICD-9, improving the accuracy of health data.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more precise coding of quadriplegia, enabling better tracking of patient outcomes and resource allocation. G82.52 provides specificity that was lacking in ICD-9, improving the accuracy of health data.

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 quadriplegia?

Complete quadriplegia indicates total loss of motor and sensory function below the injury level, while incomplete quadriplegia means some function remains, which can vary significantly among individuals.