Other paralytic syndromes
In Cerebral palsy and other paralytic syndromes (G80-G83), chapter 6: Diseases of the Nervous System
24 billable codes under G83: 1 is an MCC, 2 are a CC; all map to HCC 254 (Monoplegia, Other Paralytic Syndromes), HCC 182 (Spinal Cord Disorders/Injuries).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
Includes: conditions that are coded here
- paralysis (complete) (incomplete), except as in G80-G82
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 G83
G83 can't be used on a claim. Pick a billable code below; grey headings group them.
- G83.0Diplegia of upper limbs
- G83.1Monoplegia of lower limb
- G83.10Monoplegia of lower limb affecting unspecified side
- G83.11Monoplegia of lower limb affecting right dominant side
- G83.12Monoplegia of lower limb affecting left dominant side
- G83.13Monoplegia of lower limb affecting right nondominant side
- G83.14Monoplegia of lower limb affecting left nondominant side
- G83.2Monoplegia of upper limb
- G83.20Monoplegia of upper limb affecting unspecified side
- G83.21Monoplegia of upper limb affecting right dominant side
- G83.22Monoplegia of upper limb affecting left dominant side
- G83.23Monoplegia of upper limb affecting right nondominant side
- G83.24Monoplegia of upper limb affecting left nondominant side
- G83.3Monoplegia, unspecified
- G83.30Monoplegia, unspecified affecting unspecified side
- G83.31Monoplegia, unspecified affecting right dominant side
- G83.32Monoplegia, unspecified affecting left dominant side
- G83.33Monoplegia, unspecified affecting right nondominant side
- G83.34Monoplegia, unspecified affecting left nondominant side
- G83.4Cauda equina syndrome
- G83.5Locked-in state
- G83.8Other specified paralytic syndromes
- G83.81Brown-Sequard syndrome
- G83.82Anterior cord syndrome
- G83.83Posterior cord syndrome
- G83.84Todd's paralysis (postepileptic)
- G83.89Other specified paralytic syndromes
- G83.9Paralytic syndrome, unspecified
G83 MS-DRGs
As the principal diagnosis, the billable codes under G83 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 091 Other Disorders of Nervous System with MCC (22 of 24 codes)
- DRG 092 Other Disorders of Nervous System with CC (22 of 24 codes)
- DRG 093 Other Disorders of Nervous System without CC/MCC (22 of 24 codes)
- DRG 052 Spinal Disorders and Injuries with CC/MCC (1 of 24 codes)
- DRG 053 Spinal Disorders and Injuries without CC/MCC (1 of 24 codes)
- DRG 073 Cranial and Peripheral Nerve Disorders with MCC (1 of 24 codes)
- DRG 074 Cranial and Peripheral Nerve Disorders without MCC (1 of 24 codes)
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.