ICD-10 Coding for Cerebral Palsy(G80.0, G80.1, G80.2, G80.3, G80.4, G80.8, G80.9)
Complete ICD-10-CM coding and documentation guide for Cerebral Palsy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Cerebral Palsy
G80.0-G80.9Primary Range
Cerebral Palsy and its subtypes
This range includes all types of cerebral palsy, providing specific codes for different subtypes such as spastic, dyskinetic, and ataxic forms.
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 when spastic quadriplegia is documented as the type of cerebral palsy. |
|
| G80.1 | Spastic diplegic cerebral palsy | Use when spastic diplegia is documented as the type of cerebral palsy. |
|
| G80.2 | Spastic hemiplegic cerebral palsy | Use when spastic hemiplegia is documented as the type of cerebral palsy. |
|
| G80.3 | Dyskinetic cerebral palsy | Use when dyskinetic movements are documented as the type of cerebral palsy. |
|
| G80.4 | Ataxic cerebral palsy | Use when ataxia is documented as the type of cerebral palsy. |
|
| G80.8 | Other cerebral palsy | Use when multiple motor types are documented as the type of cerebral palsy. |
|
| G80.9 | Cerebral palsy, unspecified | Use when the type of cerebral palsy cannot be determined after thorough chart review. |
|
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 cerebral palsy
Essential facts and insights about Cerebral Palsy
Primary ICD-10-CM Codes for cerebral palsy
Decision Criteria
clinical Criteria
- Presence of spasticity in all four limbs
Applicable To
- Spastic quadriplegia
Excludes
- Dyskinetic cerebral palsy (G80.3)
Clinical Validation Requirements
- Documentation of spasticity affecting all four limbs
- Neurological examination confirming quadriplegia
Code-Specific Risks
- Misclassification if not all limbs are affected
Coding Notes
- Ensure documentation specifies quadriplegia to avoid misclassification.
G80.1 - Spastic diplegic cerebral palsy
Use when spastic diplegia is documented as the type of cerebral palsy.
Applicable To
- Spastic diplegia
Excludes
- Spastic quadriplegic cerebral palsy (G80.0)
Clinical Validation Requirements
- Documentation of spasticity primarily in lower limbs
- Neurological examination confirming diplegia
Coding Notes
Ensure documentation specifies diplegia to avoid misclassification.
G80.2 - Spastic hemiplegic cerebral palsy
Use when spastic hemiplegia is documented as the type of cerebral palsy.
Applicable To
- Spastic hemiplegia
Excludes
- Spastic diplegic cerebral palsy (G80.1)
Clinical Validation Requirements
- Documentation of spasticity affecting one side of the body
- Neurological examination confirming hemiplegia
Coding Notes
Ensure documentation specifies hemiplegia to avoid misclassification.
G80.3 - Dyskinetic cerebral palsy
Use when dyskinetic movements are documented as the type of cerebral palsy.
Applicable To
- Athetoid cerebral palsy
- Dystonic cerebral palsy
Excludes
- Spastic cerebral palsy (G80.0-G80.2)
Clinical Validation Requirements
- Documentation of involuntary movements
- Neurological examination confirming dyskinesia
Coding Notes
Ensure documentation specifies dyskinesia to avoid misclassification.
G80.4 - Ataxic cerebral palsy
Use when ataxia is documented as the type of cerebral palsy.
Applicable To
- Ataxic cerebral palsy
Excludes
- Spastic cerebral palsy (G80.0-G80.2)
Clinical Validation Requirements
- Documentation of coordination difficulties
- Neurological examination confirming ataxia
Coding Notes
Ensure documentation specifies ataxia to avoid misclassification.
G80.8 - Other cerebral palsy
Use when multiple motor types are documented as the type of cerebral palsy.
Applicable To
- Mixed cerebral palsy
Excludes
- Spastic cerebral palsy (G80.0-G80.2)
Clinical Validation Requirements
- Documentation of multiple motor types
- Neurological examination confirming mixed features
Coding Notes
Ensure documentation specifies mixed features to avoid misclassification.
G80.9 - Cerebral palsy, unspecified
Use when the type of cerebral palsy cannot be determined after thorough chart review.
Applicable To
- Unspecified cerebral palsy
Excludes
- Specific types of cerebral palsy (G80.0-G80.8)
Clinical Validation Requirements
- Lack of specific type documentation
- General documentation of cerebral palsy
Coding Notes
Use only when specific type cannot be determined.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential 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 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: Leads to inadequate management plans., Regulatory: Non-compliance with coding standards., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Review patient history for specific type documentation, Query provider if type is unclear
Impact
Reimbursement: Incorrect classification may affect reimbursement rates., Compliance: May lead to compliance issues with coding standards., Data Quality: Affects the accuracy of healthcare data and patient records.
Mitigation Strategy
Ensure documentation specifies the type and topography of cerebral palsy.
Impact
Frequent use of G80.9 without attempts to specify type.
Mitigation Strategy
Encourage thorough chart reviews and provider queries.
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 Cerebral Palsy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Cerebral Palsy
Use these documentation templates to ensure complete and accurate documentation for Cerebral Palsy. These templates include all required elements for proper coding and billing.
Neurology Progress Note
Specialty: NeurologyRequired Elements
- Type of cerebral palsy
- Functional status
- Management plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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