ICD-10 Coding for Spastic Paraplegia(G82.19, G11.4)
Complete ICD-10-CM coding and documentation guide for Spastic Paraplegia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Spastic Paraplegia
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| G82.19 | Spastic paraplegia, unspecified | Use when spasticity is confirmed but the etiology is unknown. |
|
| G11.4 | Hereditary spastic paraplegia | Use when genetic testing confirms hereditary spastic paraplegia. |
|
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 paraplegia
Essential facts and insights about Spastic Paraplegia
Primary ICD-10-CM Codes for spastic paraplegia
Decision Criteria
clinical Criteria
- Presence of spasticity and pyramidal signs
Applicable To
- Spastic paraplegia of unknown origin
Excludes
- Paraplegia, unspecified (G82.20)
Clinical Validation Requirements
- Spasticity (velocity-dependent resistance)
- Hyperreflexia (3+ patellar reflexes)
- Pyramidal signs (Babinski, Hoffman)
Code-Specific Risks
- Risk of using G82.20 when spasticity is documented.
Coding Notes
- Ensure documentation specifies spasticity to avoid incorrect coding.
G11.4 - Hereditary spastic paraplegia
Use when genetic testing confirms hereditary spastic paraplegia.
Applicable To
- Genetic forms of spastic paraplegia
Excludes
- Spastic paraplegia, unspecified (G82.19)
Clinical Validation Requirements
- Genetic testing confirming SPAST mutation
Coding Notes
Document genetic test results to support coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Spastic Paraplegia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G82.19.
Impact
Clinical: Misrepresentation of patient's genetic condition., Regulatory: Non-compliance with coding standards., Financial: Potential denial of claims.
Mitigation Strategy
Ensure genetic test results are included in the patient's record.
Impact
Reimbursement: Incorrect DRG assignment may reduce reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Query provider to confirm spasticity and use G82.19.
Impact
Lack of specific documentation for spasticity can lead to audit issues.
Mitigation Strategy
Train clinicians to document specific spasticity indicators.
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 Paraplegia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Spastic Paraplegia
Use these documentation templates to ensure complete and accurate documentation for Spastic Paraplegia. These templates include all required elements for proper coding and billing.
Neurology Progress Note for HSP
Specialty: NeurologyRequired Elements
- Assessment of spasticity
- Genetic test results
- Functional limitations
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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