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ICD-10 Guide
ICD-10 CodesG83.82

G83.82

Billable

Anterior cord syndrome

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

Code Description

ICD-10 G83.82 is a billable code used to indicate a diagnosis of anterior cord syndrome.

Key Diagnostic Point:

Anterior cord syndrome is a type of incomplete spinal cord injury characterized by the loss of motor function and pain/temperature sensation below the level of the injury, while preserving proprioception and vibratory sense. This condition typically arises from trauma, ischemia, or compression of the anterior portion of the spinal cord. Patients may present with varying degrees of paralysis, including quadriplegia or paraplegia, depending on the level of the injury. The anterior cord syndrome is often associated with significant mobility impairments, leading to challenges in daily activities and necessitating rehabilitation. In cases where the syndrome is secondary to trauma, the underlying cause must be addressed to optimize recovery. The prognosis varies, with some patients experiencing partial recovery of function, while others may remain severely impaired. Understanding the implications of anterior cord syndrome is crucial for effective management and coding, particularly in relation to associated conditions such as cerebral palsy, which may complicate the clinical picture.

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 spinal cord syndromes
  • Potential for co-existing conditions affecting mobility

Audit Risk Factors

  • Inadequate documentation of neurological examination findings
  • Failure to specify the level of spinal cord injury
  • Misclassification of the syndrome type
  • Lack of clarity on associated conditions like cerebral palsy

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological assessments, including motor and sensory evaluations, and imaging studies.

Common Clinical Scenarios

Patients presenting with acute spinal cord injuries, post-traumatic assessments, and follow-up evaluations.

Billing Considerations

Ensure comprehensive documentation of all neurological deficits and functional limitations.

Physical Medicine and Rehabilitation

Documentation Requirements

Functional assessments, rehabilitation goals, and progress notes.

Common Clinical Scenarios

Rehabilitation plans for patients recovering from spinal cord injuries, mobility training, and adaptive equipment recommendations.

Billing Considerations

Documenting the impact of mobility impairments on daily living activities is crucial for coding.

Coding Guidelines

Inclusion Criteria

Use G83.82 When
  • According to the ICD
  • CM coding guidelines, G83
  • 82 should be used when the clinical documentation supports a diagnosis of anterior cord syndrome
  • It is essential to include details about the level of injury and associated symptoms

Exclusion Criteria

Do NOT use G83.82 When
  • Exclusion criteria include conditions that do not involve anterior cord involvement

Related ICD-10 Codes

Related CPT Codes

63020CPT Code

Laminectomy, decompression of spinal cord

Clinical Scenario

Used in cases where anterior cord syndrome is due to spinal stenosis or compression.

Documentation Requirements

Operative reports detailing the procedure and indications for surgery.

Specialty Considerations

Neurosurgery or orthopedic surgery documentation must clearly outline the rationale for surgical intervention.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of anterior cord syndrome, improving the accuracy of data collection and reimbursement processes. This specificity aids in better understanding patient outcomes and resource utilization.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of anterior cord syndrome, improving the accuracy of data collection and reimbursement processes. This specificity aids in better understanding patient outcomes and resource utilization.

Reimbursement & Billing Impact

reimbursement processes. This specificity aids in better understanding patient outcomes and resource utilization.

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 anterior cord syndrome?

Anterior cord syndrome is primarily caused by trauma, ischemia, or compression of the anterior spinal cord, often resulting from accidents or degenerative conditions.