ICD-10 Coding for Spastic Quadriplegic Cerebral Palsy(G80.0)
Complete ICD-10-CM coding and documentation guide for Spastic Quadriplegic Cerebral Palsy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Spastic Quadriplegic Cerebral Palsy
G80.0-G80.9Primary Range
Cerebral Palsy
This range includes all types of cerebral palsy, with G80.0 specifically for spastic quadriplegic cerebral palsy.
Key Information: ICD-10 code for spastic quadriplegic cerebral palsy
Essential facts and insights about Spastic Quadriplegic Cerebral Palsy
Primary ICD-10-CM Code for spastic quadriplegic cerebral palsy
Decision Criteria
clinical Criteria
- Presence of spasticity in all four limbs with cerebral palsy etiology.
documentation Criteria
- Explicit mention of 'spastic quadriplegic cerebral palsy' in medical records.
Applicable To
- Spasticity in all four limbs
- Cerebral palsy etiology
Clinical Validation Requirements
- MRI or CT showing periventricular leukomalacia
- Clinical exams noting hypertonia and spasticity in all limbs
Code-Specific Risks
- Confusion with functional quadriplegia
- Incorrect use with acquired paralysis
Coding Notes
- Ensure documentation specifies 'spastic quadriplegic cerebral palsy' to avoid miscoding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Stiff-person syndrome
G25.82Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Spastic Quadriplegic Cerebral Palsy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G80.0.
Impact
Clinical: Misrepresents the patient's condition., Regulatory: Non-compliance with ICD-10 guidelines., Financial: Potential claim denials.
Mitigation Strategy
Verify the etiology of quadriplegia is congenital., Cross-check with imaging and clinical history.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: May result in non-compliance with coding standards., Data Quality: Affects the accuracy of patient records.
Mitigation Strategy
Ensure documentation specifies 'spastic quadriplegic cerebral palsy' and not just 'quadriplegia'.
Impact
Risk of coding acquired quadriplegia as G80.0.
Mitigation Strategy
Implement thorough documentation review processes.
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 Quadriplegic Cerebral Palsy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Spastic Quadriplegic Cerebral Palsy
Use these documentation templates to ensure complete and accurate documentation for Spastic Quadriplegic Cerebral Palsy. These templates include all required elements for proper coding and billing.
Neurology Progress Note
Specialty: NeurologyRequired Elements
- Diagnosis confirmation
- Etiology and imaging results
- Motor function assessment
- Associated conditions
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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