G80.0
BillableSpastic quadriplegic cerebral palsy
HCC Category Mapping
V28HCC 191 — Cerebral Palsy, Quadriplegic
0.861V24HCC 74 — Cerebral Palsy
0.000ESRDHCC 74 — Cerebral Palsy
0.000What This Code Means
A type of cerebral palsy affecting all four limbs with stiff, rigid muscle tone due to brain damage occurring before or during birth.
Coding Tips
- •Spastic quadriplegia is the most severe form of cerebral palsy; document the severity level and any associated complications
- •Consider coding additional codes for intellectual disability, seizures, or speech/swallowing difficulties if present
Clinical Significance
Spastic quadriplegic cerebral palsy is the most severe form of cerebral palsy, affecting all four limbs with significant spasticity and often accompanied by intellectual disability, seizures, and feeding difficulties. These patients have extremely high care needs including mobility assistance, respiratory management, and complex medical decision-making. This is a very high-value HCC code reflecting the profound lifelong disability.
Documentation Requirements
- ✓Diagnosis of cerebral palsy with spastic quadriplegic type specified
- ✓Etiology when known: perinatal brain injury, congenital malformation, genetic
- ✓Severity of motor involvement in all four extremities
- ✓Associated conditions: intellectual disability, epilepsy, visual/hearing impairment, dysphagia
- ✓Functional status: Gross Motor Function Classification System level when available
- ✓Current therapy and support services: physical therapy, occupational therapy, speech therapy, equipment needs
Commonly Confused Codes
G80.1 — Spastic diplegic cerebral palsy primarily affects the legs, not all four limbsG80.2 — Spastic hemiplegic cerebral palsy affects one side onlyG80.3 — Athetoid cerebral palsy features involuntary movements rather than spasticityG82.50 — Quadriplegia, unspecified is for acquired spinal cord injury-related quadriplegia, not cerebral palsy
Code Hierarchy
└G80Cerebral palsy└G80.0Spastic quadriplegic cerebral palsy
└G80.0Spastic quadriplegic cerebral palsy