G81Not billable, use a more specific code below

Hemiplegia and hemiparesis

In Cerebral palsy and other paralytic syndromes (G80-G83), chapter 6: Diseases of the Nervous System

15 billable codes under G81: all are a CC; all map to HCC 253 (Hemiplegia/Hemiparesis).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

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.

  • Section I.C.6.a Dominant/nondominant side (page 45), covers G81

    For G81 and G83.1 to G83.3, when the side is documented but dominance is not: right side defaults to dominant, left side to nondominant, and ambidextrous patients to dominant.

Other Chapter 6 topics:

Read Section I.C.6 (page 45)

G81 MS-DRGs

As the principal diagnosis, all 15 billable codes under G81 group to MS-DRG 056 or 057 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Paralysis

Paralysis is the loss of muscle function in part of your body. It happens when something goes wrong with the way messages pass between your brain and muscles. Paralysis can be complete or partial. It can occur on one or both sides of your body. It can also occur in just one area, or it can be widespread. Paralysis of the lower half of your body, including both legs, is called paraplegia. Paralysis of the arms and legs is quadriplegia.

Read more about paralysis on MedlinePlus

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.