Paraplegia (paraparesis) and quadriplegia (quadriparesis)
In Cerebral palsy and other paralytic syndromes (G80-G83), chapter 6: Diseases of the Nervous System
8 billable codes under G82: 5 are an MCC, 3 are a CC; all map to HCC 180 (Quadriplegia), HCC 181 (Paraplegia).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
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 G82
G82 can't be used on a claim. Pick a billable code below; grey headings group them.
G82 MS-DRGs
As the principal diagnosis, all 8 billable codes under G82 group to MS-DRG 052 or 053 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
Other codes that refer to G82
Notes on these codes point to G82.
- G83 Includes: paralysis (complete) (incomplete), except as in G80-G82
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 MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.