ICD-10 Coding for Spastic Quadriplegia(G80.0)
Complete ICD-10-CM coding and documentation guide for Spastic Quadriplegia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Spastic Quadriplegia
Key Information: ICD-10 code for spastic quadriplegia
Essential facts and insights about Spastic Quadriplegia
Primary ICD-10-CM Code for spastic quadriplegia
Decision Criteria
clinical Criteria
- Presence of spasticity in all four limbs with cerebral palsy etiology
documentation Criteria
- MRI findings of periventricular leukomalacia
Applicable To
- Congenital spastic quadriplegia
Clinical Validation Requirements
- Hypertonia in all limbs
- Periventricular leukomalacia on MRI
- History of perinatal brain injury
Code-Specific Risks
- Confusion with functional quadriplegia or general quadriplegia
Coding Notes
- Ensure documentation specifies 'spastic quadriplegia' to avoid incorrect coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Muscle weakness (generalized)
M62.81Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Spastic Quadriplegia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G80.0.
Impact
Clinical: Leads to misinterpretation of patient's condition., Regulatory: May result in coding audits and compliance issues., Financial: Potential for denied claims due to lack of specificity.
Mitigation Strategy
Educate providers on the importance of specificity, Implement documentation templates
Impact
Reimbursement: Incorrect coding may lead to denied claims for cerebral palsy treatments., Compliance: May trigger audits due to coding discrepancies., Data Quality: Affects accuracy of patient records and data reporting.
Mitigation Strategy
Use G80.0 when spastic quadriplegia is due to cerebral palsy.
Impact
Coding G82.50 instead of G80.0 for cerebral palsy-related quadriplegia.
Mitigation Strategy
Educate coding staff on the differences between cerebral palsy and spinal cord injury codes.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Spastic Quadriplegia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Spastic Quadriplegia
Use these documentation templates to ensure complete and accurate documentation for Spastic Quadriplegia. These templates include all required elements for proper coding and billing.
Neurology Progress Note for Spastic Quadriplegia
Specialty: NeurologyRequired Elements
- Diagnosis
- Clinical Findings
- Functional Status
- Plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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