ICD-10 Coding for Paraparesis(G82.2, I69.351)
Complete ICD-10-CM coding and documentation guide for Paraparesis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Paraparesis
G82.2Primary Range
Paraplegia and paraparesis, unspecified
Primary range for coding paraparesis when the cause is unspecified or chronic.
Muscle weakness (generalized)
Used when paraparesis is not confirmed and only generalized weakness is documented.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| G82.2 | Paraplegia and paraparesis, unspecified | Use when paraparesis is present but the underlying cause is unspecified or chronic. |
|
| I69.351 | Hemiplegia and hemiparesis following cerebral infarction affecting right dominant side | Use for paraparesis as a residual effect of a stroke. |
|
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 paraparesis
Essential facts and insights about Paraparesis
Primary ICD-10-CM Codes for paraparesis
Decision Criteria
clinical Criteria
- Presence of muscle strength ≤3/5 in both legs and hyperreflexia.
coding Criteria
- Use when no specific underlying cause is documented.
Applicable To
- Paraparesis, unspecified
Excludes
- Congenital cerebral palsy
- Functional quadriplegia
Clinical Validation Requirements
- Muscle strength ≤3/5 in both legs
- Hyperreflexia
- Spasticity
Code-Specific Risks
- Risk of using this code without specifying an underlying cause when one is known.
Coding Notes
- Ensure documentation specifies the cause of paraparesis if known.
I69.351 - Hemiplegia and hemiparesis following cerebral infarction affecting right dominant side
Use for paraparesis as a residual effect of a stroke.
Applicable To
- Post-stroke hemiparesis
Excludes
- Acute stroke
Clinical Validation Requirements
- MRI-confirmed infarct
- Unilateral or bilateral lower extremity weakness
Coding Notes
Sequence after the acute stroke code if applicable.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Neurologic neglect syndrome
R29.5Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Muscle weakness (generalized)
M62.81Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Paraparesis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G82.2.
Impact
Clinical: May lead to misinterpretation of the patient's condition., Regulatory: Non-compliance with documentation standards., Financial: Potential loss of reimbursement due to incorrect coding.
Mitigation Strategy
Use precise terminology in clinical notes.
Impact
Reimbursement: May result in lower reimbursement if not linked to a specific etiology., Compliance: Non-compliance with coding guidelines requiring specificity., Data Quality: Reduces the accuracy of clinical data.
Mitigation Strategy
Always document and code the underlying cause if known.
Impact
Risk of audits due to lack of specificity in documenting paraparesis.
Mitigation Strategy
Ensure all documentation includes specific etiology and severity.
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 Paraparesis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Paraparesis
Use these documentation templates to ensure complete and accurate documentation for Paraparesis. These templates include all required elements for proper coding and billing.
Paraparesis due to spinal cord injury
Specialty: NeurologyRequired Elements
- Etiology
- Muscle strength assessment
- Functional impact
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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