Facebook tracking pixelSpastic Cerebral Palsy - AI-Powered ICD-10 Documentation
G80.1
ICD-10-CM
Spastic Cerebral Palsy

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

Spastic CP
Spastic Quadriplegia
Spastic Diplegia
+1 more

Diagnosis Snapshot

Key Facts
  • Definition : Motor disorder causing muscle stiffness and movement difficulty due to brain damage early in life.
  • Clinical Signs : Spasticity, muscle weakness, impaired motor control, balance problems, abnormal gait.
  • Common Settings : Pediatric neurology, rehabilitation centers, physical therapy, occupational therapy, speech therapy.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC G80.1 Coding
G80-G83

Cerebral palsy

Covers various types of cerebral palsy, including spastic forms.

G81

Spastic cerebral palsy

Specifies spastic cerebral palsy with varying limb involvement.

G82

Other paralytic syndromes

Includes conditions related to spastic cerebral palsy like hemiplegia.

Code-Specific Guidance

Decision Tree for

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).

Code Comparison

Related Codes Comparison

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

Documentation Best Practices

Documentation Checklist
  • Spastic cerebral palsy diagnosis documentation: ICD-10 G80.0-G80.9
  • Detailed motor impairment: location, type (spasticity), severity
  • Functional limitations impact on daily activities ADLs
  • Associated conditions: epilepsy, intellectual disability, vision impairment
  • Neuroimaging, EEG findings supporting CP diagnosis

Coding and Audit Risks

Common Risks
  • Code Specificity

    Lack of specific laterality (right, left, bilateral) and type (diplegia, quadriplegia, hemiplegia) coding for Spastic CP leads to inaccurate severity reflection and reimbursement.

  • Comorbidity Capture

    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.

  • GMFCS Level Omission

    Failing to document the Gross Motor Function Classification System (GMFCS) level for Spastic CP hinders accurate functional assessment, impacting resource allocation and quality reporting.

Mitigation Tips

Best Practices
  • Early Dx: ICD-10 G80. Dev. monitoring crucial for prompt Rx.
  • Multidisciplinary team: PT, OT, SLP. Doc all interventions for max reimbursement.
  • Precise GMFCS & MACS levels. Improve CDI for accurate severity reflection.
  • Monitor meds, Botox, Orthotics. Clear Rx documentation for compliance.
  • Track progress with standardized tools. Data supports medical necessity & justifies continued care.

Clinical Decision Support

Checklist
  • 1. Persistent primitive reflexes (e.g., Moro, ATNR)
  • 2. Increased muscle tone (spasticity)
  • 3. Delayed motor milestones (e.g., crawling, walking)
  • 4. Abnormal movement patterns (e.g., scissor gait)

Reimbursement and Quality Metrics

Impact Summary
  • Spastic Cerebral Palsy reimbursement hinges on accurate ICD-10-CM coding (G80.-) and CPT coding for therapies, impacting hospital revenue cycle management.
  • Coding quality directly affects case mix index (CMI) for Spastic Cerebral Palsy patients, influencing hospital reimbursement and resource allocation.
  • Timely and specific documentation of Spastic Cerebral Palsy severity and functional limitations is crucial for maximizing reimbursement and justifying medical necessity.
  • Accurate Spastic Cerebral Palsy coding supports quality reporting initiatives and data analysis for improved patient care and outcomes measurement.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code G80.1 for spastic CP
  • Specify laterality: right, left, both
  • Document functional limitations
  • Add any associated conditions
  • ICD-10-CM G80.1: Spastic CP

Documentation Templates

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.