Cerebral palsy
In Cerebral palsy and other paralytic syndromes (G80-G83), chapter 6: Diseases of the Nervous System
7 billable codes under G80: 1 is an MCC, 3 are a CC; all map to HCC 192 (Cerebral Palsy, Except Quadriplegic), HCC 191 (Quadriplegic Cerebral Palsy).A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment. An HCC counts toward a Medicare Advantage patient's risk score.
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Instructional notes
Excludes1: not coded here, use a different code
- hereditary spastic paraplegia (G11.4)
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Covers default dominant or nondominant side for hemiplegia and monoplegia, and use and sequencing of G89 pain codes, including postoperative, chronic, and neoplasm-related pain.
- Dominant/nondominant side (page 45)
- Pain - Category G89 (page 45)
All codes under G80
G80 can't be used on a claim. Pick a billable code below; grey headings group them.
G80 MS-DRGs
As the principal diagnosis, the billable codes under G80 group to these 7 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 052 Spinal Disorders and Injuries with CC/MCC (3 of 7 codes)
- DRG 053 Spinal Disorders and Injuries without CC/MCC (3 of 7 codes)
- DRG 091 Other Disorders of Nervous System with MCC (3 of 7 codes)
- DRG 092 Other Disorders of Nervous System with CC (3 of 7 codes)
- DRG 093 Other Disorders of Nervous System without CC/MCC (3 of 7 codes)
- DRG 056 Degenerative Nervous System Disorders with MCC (1 of 7 codes)
- DRG 057 Degenerative Nervous System Disorders without MCC (1 of 7 codes)
Other codes that refer to G80
Notes on these codes point to G80.
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Cerebral Palsy
Cerebral palsy (CP) is a group of neurologic disorders that cause problems with movement, balance, and posture. The first part of the name, cerebral, means having to do with the brain. The second part, palsy, means weakness or problems with using the muscles.
Read more about cerebral palsy on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.