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ICD-10 Guide
ICD-10 CodesG83.2

G83.2

Billable

Monoplegia of upper limb

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

Code Description

ICD-10 G83.2 is a billable code used to indicate a diagnosis of monoplegia of upper limb.

Key Diagnostic Point:

Monoplegia of the upper limb refers to a condition characterized by paralysis affecting only one arm, resulting in a significant loss of motor function. This condition can arise from various neurological disorders, including cerebral palsy, stroke, traumatic brain injury, or multiple sclerosis. In patients with cerebral palsy, monoplegia may occur due to damage to specific areas of the brain during development, leading to impaired motor control and coordination in the affected limb. The severity of the paralysis can vary, with some individuals retaining partial movement while others may experience complete loss of function. Monoplegia can lead to secondary complications such as muscle atrophy, joint contractures, and mobility impairments, impacting the patient's overall quality of life. Rehabilitation strategies often include physical therapy, occupational therapy, and assistive devices to enhance mobility and independence. Understanding the underlying cause of monoplegia is crucial for effective treatment and management, as it can influence the prognosis and rehabilitation outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of paralysis (e.g., monoplegia vs. hemiplegia)
  • Understanding the underlying causes (e.g., stroke, cerebral palsy)
  • Documenting the extent of paralysis and functional limitations
  • Co-morbid conditions that may complicate coding

Audit Risk Factors

  • Inadequate documentation of the cause of monoplegia
  • Failure to specify the affected limb
  • 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 presenting condition.

Common Clinical Scenarios

Patients presenting with sudden onset of weakness in one arm post-stroke or developmental delays in children with cerebral palsy.

Billing Considerations

Consideration of comorbid neurological conditions and their impact on treatment and coding.

Physical Medicine and Rehabilitation

Documentation Requirements

Functional assessments, therapy progress notes, and treatment plans.

Common Clinical Scenarios

Rehabilitation of patients post-stroke or those with cerebral palsy requiring therapy for upper limb function.

Billing Considerations

Focus on functional outcomes and the need for assistive devices.

Coding Guidelines

Inclusion Criteria

Use G83.2 When
  • According to ICD
  • 10 guidelines, G83
  • 2 should be used when there is clear documentation of monoplegia affecting the upper limb, with specific details about the affected limb and underlying cause

Exclusion Criteria

Do NOT use G83.2 When
  • Exclusions include conditions that do not specifically result in monoplegia

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 progress notes.

Specialty Considerations

Physical therapy documentation should reflect the specific goals related to upper limb function.

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 accuracy of diagnoses and treatment tracking. This specificity aids in better patient management and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like monoplegia, improving the accuracy of diagnoses and treatment tracking. This specificity aids in better patient management and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like monoplegia, improving the accuracy of diagnoses and treatment tracking. This specificity aids in better patient management 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 monoplegia and hemiplegia?

Monoplegia refers to paralysis affecting only one limb, while hemiplegia affects one side of the body, including both limbs.