Functional quadriplegia
ICD-10 R53.2 is a billable code used to indicate a diagnosis of functional quadriplegia.
Functional quadriplegia refers to a state of severe impairment in motor function affecting all four limbs, resulting in a significant loss of voluntary movement. This condition is often seen in patients with underlying neurological disorders, severe debilitation, or advanced age, where the patient may exhibit quadriplegic symptoms without any identifiable structural damage to the spinal cord or brain. Symptoms may include weakness or paralysis of the arms and legs, loss of coordination, and difficulty with mobility. Patients may also experience associated symptoms such as fatigue, muscle atrophy, and spasticity. Functional quadriplegia can arise from various causes, including stroke, multiple sclerosis, severe arthritis, or prolonged immobility. The diagnosis is primarily clinical, relying on a thorough history and physical examination, and may involve imaging studies to rule out structural causes. Laboratory findings may be non-specific but can help identify underlying conditions contributing to the functional impairment.
Detailed history of the patient's functional status, including onset and duration of symptoms, and any underlying medical conditions.
Patients with chronic illnesses leading to functional decline, such as diabetes or heart failure.
Consideration of comorbidities that may contribute to functional quadriplegia.
Acute assessment of motor function, including neurological examination and any immediate interventions.
Acute presentations following a stroke or traumatic injury.
Rapid assessment and documentation of functional status are critical in emergency settings.
Used for follow-up visits for patients with functional quadriplegia.
Document the patient's functional status and any changes in condition.
Internal medicine may require more detailed chronic care management documentation.
Functional quadriplegia refers to a loss of motor function without structural damage, while true quadriplegia involves actual injury to the spinal cord or brain.
