ICD-10 Coding for Spastic Tetraplegia(G80.0, G82.40)
Complete ICD-10-CM coding and documentation guide for Spastic Tetraplegia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Spastic Tetraplegia
G80-G83Primary Range
Cerebral Palsy and Other Paralytic Syndromes
This range includes codes for cerebral palsy and other forms of paralysis, including spastic tetraplegia.
Paraplegia and Tetraplegia
This range includes codes for tetraplegia due to non-traumatic causes, relevant for spastic tetraplegia not due to cerebral palsy.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| G80.0 | Spastic quadriplegic cerebral palsy | Use for congenital cases of spastic tetraplegia associated with cerebral palsy. |
|
| G82.40 | Spastic tetraplegia due to nontraumatic spinal cord injury | Use for cases of spastic tetraplegia resulting from non-traumatic spinal cord injury. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for spastic tetraplegia
Essential facts and insights about Spastic Tetraplegia
Primary ICD-10-CM Codes for spastic tetraplegia
Decision Criteria
clinical Criteria
- Presence of congenital cerebral palsy with spasticity in all four limbs.
Applicable To
- Congenital spastic tetraplegia
Excludes
- Spastic tetraplegia due to spinal cord injury
Clinical Validation Requirements
- MRI showing periventricular leukomalacia
- History of congenital cerebral palsy
Code-Specific Risks
- Confusion with acquired tetraplegia codes
Coding Notes
- Ensure documentation specifies congenital origin to use G80.0.
G82.40 - Spastic tetraplegia due to nontraumatic spinal cord injury
Use for cases of spastic tetraplegia resulting from non-traumatic spinal cord injury.
Applicable To
- Non-traumatic spastic tetraplegia
Excludes
- Congenital spastic tetraplegia
Clinical Validation Requirements
- CT myelogram confirming spinal cord injury
- Documented history of non-traumatic spinal cord injury
Coding Notes
Ensure documentation specifies non-traumatic origin to use G82.40.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Cramp and spasm
R25.2Differential 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 Tetraplegia 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 incorrect treatment plans., Regulatory: Non-compliance with coding guidelines., Financial: Potential claim denials.
Mitigation Strategy
Thorough patient history documentation, Regular training on coding guidelines
Impact
Reimbursement: Incorrect coding can lead to claim denials., Compliance: May result in non-compliance with coding standards., Data Quality: Affects the accuracy of patient records.
Mitigation Strategy
Use G82.40 for non-traumatic cases with documentation of injury date/level.
Impact
Risk of selecting incorrect codes due to unclear documentation.
Mitigation Strategy
Implement thorough documentation practices and regular audits.
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 Tetraplegia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Spastic Tetraplegia
Use these documentation templates to ensure complete and accurate documentation for Spastic Tetraplegia. These templates include all required elements for proper coding and billing.
Spastic Tetraplegia due to Cerebral Palsy
Specialty: PediatricsRequired Elements
- History of congenital cerebral palsy
- MRI findings
- Neurological exam results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Spastic Tetraplegia? Ask your questions below.