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ICD-10 Guide
ICD-10 CodesG83.81

G83.81

Billable

Brown-Séquard syndrome

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

Code Description

ICD-10 G83.81 is a billable code used to indicate a diagnosis of brown-séquard syndrome.

Key Diagnostic Point:

Brown-Séquard syndrome is a neurological condition resulting from hemisection of the spinal cord, leading to a characteristic pattern of motor and sensory deficits. Patients typically present with ipsilateral motor paralysis and loss of proprioception below the level of the lesion, while experiencing contralateral loss of pain and temperature sensation. This syndrome can arise from various etiologies, including trauma, tumors, or ischemia. The clinical manifestations can significantly impact mobility and daily functioning, often leading to complications such as spasticity, bladder dysfunction, and pressure sores. Rehabilitation strategies may include physical therapy to enhance mobility and occupational therapy to improve daily living skills. The prognosis varies depending on the cause and extent of the spinal cord injury, with some patients achieving significant recovery while others may experience permanent disabilities. Understanding the implications of Brown-Séquard syndrome is crucial for effective management and coding, particularly in relation to associated conditions such as paralysis, paraplegia, and mobility impairments.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity of symptoms
  • Need for precise documentation of neurological deficits
  • Differentiation from other types of paralysis and spinal cord injuries
  • Potential for co-existing conditions that complicate coding

Audit Risk Factors

  • Inadequate documentation of neurological examination findings
  • Failure to specify the level of spinal cord injury
  • Misclassification of the syndrome as a general paralysis code
  • Lack of clarity regarding the etiology of the syndrome

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, including motor and sensory assessments.

Common Clinical Scenarios

Patients presenting with acute onset of weakness and sensory changes following trauma or surgery.

Billing Considerations

Ensure clear documentation of the level of spinal cord involvement and any associated complications.

Rehabilitation Medicine

Documentation Requirements

Comprehensive assessment of functional abilities and rehabilitation goals.

Common Clinical Scenarios

Patients undergoing rehabilitation post-spinal cord injury to improve mobility and independence.

Billing Considerations

Document progress in therapy and any assistive devices used.

Coding Guidelines

Inclusion Criteria

Use G83.81 When
  • According to ICD
  • 10 coding guidelines, G83
  • 81 should be used when there is clear documentation of Brown
  • Séquard syndrome, including the specific neurological deficits
  • It is important to include the etiology when applicable and to document any associated conditions that may affect treatment and outcomes

Exclusion Criteria

Do NOT use G83.81 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99203CPT Code

Office or other outpatient visit for the evaluation and management of a new patient

Clinical Scenario

Used for initial evaluation of a patient presenting with Brown-Séquard syndrome.

Documentation Requirements

Document history, examination findings, and medical decision-making.

Specialty Considerations

Neurology specialists should ensure detailed neurological assessments are included.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of neurological conditions like Brown-Séquard syndrome, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of neurological conditions like Brown-Séquard syndrome, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 primary cause of Brown-Séquard syndrome?

Brown-Séquard syndrome is primarily caused by hemisection of the spinal cord, which can occur due to trauma, tumors, or ischemic events.

How is Brown-Séquard syndrome diagnosed?

Diagnosis is based on clinical examination, neurological assessment, and imaging studies such as MRI to identify the level and cause of spinal cord injury.