Find comprehensive information on Spastic Cerebral Palsy, including clinical documentation, medical coding, and healthcare resources. Learn about ICD-10 codes for Spastic Cerebral Palsy, GMFCS levels, and common comorbidities. Explore resources for diagnosis, treatment, and management of Spastic Diplegia, Spastic Hemiplegia, and Spastic Quadriplegia. This resource provides valuable information for healthcare professionals, clinicians, and medical coders seeking accurate and up-to-date information on Spastic Cerebral Palsy.
Also known as
Cerebral palsy
Covers various types of cerebral palsy, including spastic forms.
Spastic cerebral palsy
Specifies spastic cerebral palsy with varying limb involvement.
Other paralytic syndromes
Includes conditions related to spastic cerebral palsy like hemiplegia.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the cerebral palsy spastic?
Yes
Monoplegia, hemiplegia, or paraplegia?
No
Do not code as spastic cerebral palsy. Review other cerebral palsy types (e.g., dyskinetic, ataxic).
When to use each related code
Description |
---|
Spastic CP: stiff muscles, impaired movement |
Dyskinetic CP: involuntary movements, variable muscle tone |
Ataxic CP: balance, coordination problems, shaky movements |
Lack of specific laterality (right, left, bilateral) and type (diplegia, quadriplegia, hemiplegia) coding for Spastic CP leads to inaccurate severity reflection and reimbursement.
Associated conditions like intellectual disability, epilepsy, or visual impairment often coexist with Spastic CP and must be coded for proper risk adjustment and care planning.
Failing to document the Gross Motor Function Classification System (GMFCS) level for Spastic CP hinders accurate functional assessment, impacting resource allocation and quality reporting.
Patient presents with clinical findings consistent with a diagnosis of Spastic Cerebral Palsy (CP). The patient exhibits spasticity, hypertonia, and increased deep tendon reflexes, primarily affecting the lower extremities. Gross motor skills are delayed, with difficulties observed in ambulation and balance. Fine motor control is also impacted, presenting as challenges with manipulation of small objects and hand-eye coordination. The patient's medical history includes premature birth and periventricular leukomalacia (PVL) identified on prior brain imaging. Developmental milestones such as independent sitting, crawling, and walking are significantly delayed. Cognitive assessment reveals age-appropriate cognitive function. The patient's current treatment plan includes physical therapy, occupational therapy, and speech therapy to address motor skill development and functional limitations. Orthotics are being utilized to support ambulation and improve gait. Regular follow-up is scheduled to monitor progress, assess for any complications such as contractures or hip dysplasia, and adjust the treatment plan as needed. Differential diagnoses considered included other forms of cerebral palsy, such as dyskinetic cerebral palsy and ataxic cerebral palsy, but were ruled out based on the predominant spastic presentation. The patient's condition is consistent with ICD-10 code G80.0 (Spastic cerebral palsy). Prognosis for functional improvement with continued therapy is favorable. Family education and support services are being provided to address the patient's and family's needs related to this chronic condition. Future considerations include potential interventions such as botulinum toxin injections for spasticity management and selective dorsal rhizotomy if conservative management proves insufficient.