G80.1
BillableSpastic diplegic cerebral palsy
HCC Category Mapping
V28HCC 192 — Cerebral Palsy, Except Quadriplegic
0.368V24HCC 74 — Cerebral Palsy
0.000ESRDHCC 74 — Cerebral Palsy
0.000What This Code Means
A type of cerebral palsy primarily affecting both legs with stiff, rigid muscle tone, while arms are less affected or unaffected.
Coding Tips
- •Spastic diplegia is the most common form of cerebral palsy; document functional limitations and mobility status
- •Often associated with prematurity; review birth history documentation for coding accuracy
Clinical Significance
Spastic diplegic cerebral palsy is the most common type of cerebral palsy, primarily affecting the lower extremities with spasticity while relatively sparing the upper body. It is strongly associated with premature birth and periventricular leukomalacia. These patients require ongoing physical therapy, orthopedic management, and mobility support. Accurate coding captures the chronic rehabilitative care needs.
Documentation Requirements
- ✓Diagnosis of cerebral palsy with spastic diplegic type specified
- ✓Predominant involvement of lower extremities documented
- ✓Birth history: prematurity, periventricular leukomalacia when applicable
- ✓Ambulatory status: independent, assisted, wheelchair-dependent
- ✓Associated conditions: learning disabilities, strabismus, urinary issues
- ✓Current interventions: physical therapy, orthopedic procedures, assistive devices
Commonly Confused Codes
G80.0 — Spastic quadriplegic cerebral palsy involves all four limbs severely; diplegia primarily affects legsG80.2 — Spastic hemiplegic cerebral palsy affects one side only, not bilateral lower extremitiesG82.20 — Paraplegia, unspecified is for acquired spinal cord-level paralysis, not cerebral palsyG80.9 — Cerebral palsy, unspecified should not be used when the diplegic pattern is documented