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ICD-10 Guide
ICD-10 CodesG83.20

G83.20

Billable

Monoplegia of upper limb affecting unspecified side

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

Code Description

ICD-10 G83.20 is a billable code used to indicate a diagnosis of monoplegia of upper limb affecting unspecified side.

Key Diagnostic Point:

Monoplegia of the upper limb refers to a condition characterized by paralysis affecting one arm, which can result from various neurological disorders, including cerebral palsy, stroke, or traumatic brain injury. In cases of cerebral palsy, monoplegia may arise due to brain damage occurring during fetal development, birth, or shortly after. This condition can lead to significant mobility impairments, affecting the patient's ability to perform daily activities, such as dressing, eating, and personal hygiene. The severity of the paralysis can vary, with some individuals retaining partial movement or strength in the affected limb. Rehabilitation strategies often include physical therapy, occupational therapy, and assistive devices to enhance functional independence. Understanding the underlying cause of the monoplegia is crucial for effective management and treatment planning, as it may influence the prognosis and rehabilitation outcomes. Accurate coding is essential for appropriate reimbursement and to reflect the complexity of care required for these patients.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity of paralysis
  • Need for detailed documentation of the underlying cause
  • Differentiation from other types of paralysis (e.g., hemiplegia, quadriplegia)
  • Potential for co-existing conditions that may complicate coding

Audit Risk Factors

  • Insufficient documentation of the affected side
  • Inconsistent use of terminology in clinical notes
  • Failure to document the underlying cause of monoplegia
  • Lack of evidence for the severity of mobility impairments

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, including motor function assessments and any imaging studies.

Common Clinical Scenarios

Patients presenting with sudden onset of upper limb weakness post-stroke or chronic conditions like cerebral palsy.

Billing Considerations

Ensure clarity in documenting the onset and progression of symptoms, as well as any co-morbid neurological conditions.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive rehabilitation plans, including therapy goals and progress notes.

Common Clinical Scenarios

Patients undergoing rehabilitation for upper limb function post-injury or surgery.

Billing Considerations

Documenting functional assessments and patient-reported outcomes is critical for coding and reimbursement.

Coding Guidelines

Inclusion Criteria

Use G83.20 When
  • According to ICD
  • 10 coding guidelines, G83
  • 20 should be used when the specific side of the upper limb affected is not documented
  • Coders should ensure that the documentation supports the diagnosis and reflects the patient's clinical status accurately

Exclusion Criteria

Do NOT use G83.20 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

97110CPT Code

Therapeutic exercises

Clinical Scenario

Used in conjunction with G83.20 for rehabilitation of upper limb function.

Documentation Requirements

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

Specialty Considerations

Physical therapists should ensure that the treatment plan aligns with the diagnosis.

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 patient records and reimbursement processes. This specificity aids in better tracking of treatment outcomes 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 patient records and reimbursement processes. This specificity aids in better tracking of treatment outcomes and resource allocation.

Reimbursement & Billing Impact

reimbursement processes. This specificity aids in better tracking of treatment 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 monoplegia and hemiplegia?

Monoplegia refers to paralysis affecting one limb, while hemiplegia involves paralysis of one side of the body, including both the upper and lower limbs.