Skip to content
HCC Buddy home

G82.22 ICD-10-CM Code: Paraplegia, incomplete

G82.22 maps to CMS-HCC V28 181. A source-labeled RAF reference is available. Confirm the documented diagnosis and applicable coding requirements. MEAT criteria · RAF Calculator · free HCC coding tools

ICD-10-CM Code View

HCC Buddy Code Card

Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.

Code lookupG82.22

FY 2026 Apr update / Diseases of the nervous system (G00-G99) / Cerebral palsy and other paralytic syndromes (G80-G83)

G82.22

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Paraplegia, incomplete

Partial paralysis of both legs where some muscle function or sensation remains, but the legs are not completely paralyzed.

Buddy the Bee presenting code insight

Buddy Insight

Incomplete paraplegia indicates partial preservation of motor or sensory function below the level of spinal cord injury, providing better rehabilitation potential than complete paraplegia.

OverviewRisk ModelsCode BookDocumentationAuditNotesEdition comparison

CMS-HCC V28

HCC 181

Coefficient HCC 181: 0.942 (Community Non-Dual Aged (CNA))

CMS-HCC V24

Historical

Historical

Not used for CY2026 payment

ACA/HHS

HCC 109

Code-level coefficient reference

ESRD/PACE

HCC 71

Code-level coefficient reference

RXHCC

N/A

—

Not mapped

Code Book Path

Official
G82Paraplegia (paraparesis) and quadriplegia (quadriparesis)G82.2ParaplegiaG82.22Paraplegia, incomplete

Inclusion Terms

Official
  • Paralysis of both lower limbs NOSInherited from G82.2
  • Paraparesis (lower) NOSInherited from G82.2
  • Paraplegia (lower) NOSInherited from G82.2

Excludes 2

Official
  • certain conditions originating in the perinatal period (P04-P96)Inherited from G00-G99
  • certain infectious and parasitic diseases (A00-B99)Inherited from G00-G99
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)Inherited from G00-G99
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)Inherited from G00-G99
  • endocrine, nutritional and metabolic diseases (E00-E88)Inherited from G00-G99
  • injury, poisoning and certain other consequences of external causes (S00-T88)Inherited from G00-G99
  • neoplasms (C00-D49)Inherited from G00-G99
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)Inherited from G00-G99

Related Codes

Official
G82.20Paraplegia, unspecifiedG82.21Paraplegia, complete

Includes

Official

No Includes notes are included in this display for G82.22. Check the code and parent instructions in the Code Book.

Excludes 1

Official
  • congenital cerebral palsy (G80.-)Inherited from G82
  • functional quadriplegia (R53.2)Inherited from G82
  • hysterical paralysis (F44.4)Inherited from G82

Code First

Official

No Code First sequencing instructions are included in this display for G82.22. Check the code and parent instructions in the Code Book.

Use Additional

Official

No Use Additional Code instructions are included in this display for G82.22. Check the code and parent instructions in the Code Book.

Code Also

Official

No Code Also instructions are included in this display for G82.22. Check the code and parent instructions in the Code Book.

Buddy Documentation Tip

HCC Buddy guidance
Documentation explicitly stating paraplegia is 'incomplete'
Description of preserved motor or sensory function below injury level
Spinal cord level of injury when documented
Underlying etiology

MEAT Support

HCC Buddy guidance
Documentation explicitly stating paraplegia is 'incomplete'
Description of preserved motor or sensory function below injury level
Spinal cord level of injury when documented
Underlying etiology

Audit Caution

HCC Buddy guidance
Coding incomplete paraplegia for bilateral lower extremity weakness that is not due to spinal cord pathology
Not specifying incomplete status when documentation supports it, defaulting to unspecified
Confusing incomplete paraplegia with lower extremity weakness from peripheral neuropathy or myopathy
Failing to code the etiology of the paraplegia as a separate diagnosis

Common Mistakes

HCC Buddy guidance
G82.21 Paraplegia, complete — no function preserved; incomplete means some function remains
G82.20 Paraplegia, unspecified — use when completeness status is not documented
G82.52 Quadriplegia, C1-C4 incomplete — involves upper extremities as well
M62.81 Muscle weakness (generalized) — weakness alone does not equate to paraplegia

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Is G82.22 an HCC code?

Yes. G82.22 (Paraplegia, incomplete) maps to HCC 181, Paraplegia under the CMS-HCC V28 risk adjustment model, with a source-labeled community non-dual aged reference coefficient of 0.942. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes. It is billable for payment year 2026.

Coder answer: G82.22 is billable and maps to V28 HCC 181, Paraplegia. Open it in the Code Book for the tabular path, RAF, and MEAT checklist.

Code
G82.22
Description
Paraplegia, incomplete
HCC (V28)
HCC 181 — Paraplegia
RAF reference coefficient
0.942
Billable
Yes
Payment year
2026

HCC Category Mapping

V28HCC 181, Paraplegia
0.942
ESRDHCC 71, Paraplegia
Not separately weighted

These are source-labeled model coefficients, not member totals. A category may still be removed by hierarchy or model cleanup rules. Weights are not directly comparable across models: CMS-HCC V28 and V24 use Community, Non-Dual, Aged; ESRD uses the dialysis continuing-enrollee model; RxHCC is the Part D continuing-enrollee, non-low-income, aged weight (a larger scale than CMS-HCC). ACA/HHS has no single weight — it varies by metal level. Actual per-patient RAF contribution depends on member context, hierarchy and cleanup rules, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains available for historical review.

Work G82.22 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →

MEAT review for G82.22

For G82.22, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule.

  • MMonitor: signs, symptoms, disease progression, or lab trending documented in the note
  • EEvaluate: test results, medication response, or physical findings reviewed by the provider
  • AAssess: explicit mention in the assessment or plan with acknowledgment of status
  • TTreat: medication, referral, procedure, therapy, or counseling tied to the diagnosis

Coder workflow notes

Get the V28 mapping + MEAT cheat sheet

One printable reference: check representative V28 mappings and the documentation reminders your note needs. Free, no card.

Free PDF. No card. Unsubscribe anytime.

What This Code Means

G82.22 is the ICD-10-CM diagnosis code for paraplegia, incomplete. Partial paralysis of both legs where some muscle function or sensation remains, but the legs are not completely paralyzed. G82.22 sits in the ICD-10-CM chapter for diseases of the nervous system (g00-g99), within the section covering cerebral palsy and other paralytic syndromes (g80-g83).

Under the CMS-HCC V28 risk adjustment model, G82.22 maps to Paraplegia (HCC 181) with a source-labeled community, non-dual, aged reference coefficient of 0.942. No V24 mapping is shown for G82.22; use the applicable model and payment year when reviewing the V28 mapping. For CY2026 non-PACE Medicare Advantage, CMS uses 100% of the 2024 CMS-HCC model (V28). PACE uses a separate model blend. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes.

Incomplete paraplegia indicates some preservation of motor or sensory function below the level of injury. For G82.22, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule. When documentation is ambiguous, coders should issue a provider query rather than assume the highest-specificity variant.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for G82.22 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • •Incomplete paraplegia indicates some preservation of motor or sensory function below the level of injury
  • •Ensure documentation supports 'incomplete' status before assigning this code rather than the unspecified code

Clinical Significance

Incomplete paraplegia indicates partial preservation of motor or sensory function below the level of spinal cord injury, providing better rehabilitation potential than complete paraplegia. These patients may have varying degrees of residual function, from minimal muscle flicker to functional ambulation with assistive devices. The distinction between complete and incomplete paraplegia is critical for rehabilitation planning and resource allocation.

Documentation Requirements

  • ✓Documentation explicitly stating paraplegia is 'incomplete'
  • ✓Description of preserved motor or sensory function below injury level
  • ✓Spinal cord level of injury when documented
  • ✓Underlying etiology
  • ✓Functional assessment including ambulatory status and assistive device needs
  • ✓Rehabilitation goals and progress notes
  • ✓Bladder/bowel function status
  • ✓Active treatment and management plan

Commonly Confused Codes

  • •G82.21 Paraplegia, complete: no function preserved; incomplete means some function remains
  • •G82.20 Paraplegia, unspecified: use when completeness status is not documented
  • •G82.52 Quadriplegia, C1-C4 incomplete: involves upper extremities as well
  • •M62.81 Muscle weakness (generalized): weakness alone does not equate to paraplegia

Child Codes

G82.20Paraplegia, unspecified
HCC 181
G82.21Paraplegia, complete
HCC 181
G82.22Paraplegia, incomplete
HCC 181

Code Hierarchy

└G82Paraplegia (paraparesis) and quadriplegia (quadriparesis)└G82.2Paraplegia└G82.22Paraplegia, incomplete
└G82.22Paraplegia, incomplete

Also searched as

  • G82 22
  • G8222

For G82.22, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule.

G82.22 maps to CMS-HCC V28 category 181, Paraplegia. See the ICD-10 to HCC mapping hub for how the V28 crosswalk works. The mapping identifies a payment HCC category for G82.22. Review its source-labeled HCC coefficient above, check the RAF Calculator with complete member context for CMS-HCC V28 PY2026, and confirm the documentation the chart needs before the code is submitted. HCC Buddy shows no RAF score unless every required source and calculation check passes.

Work G82.22 in HCC Buddy

Open G82.22 in the Code Book for the full Index-to-Tabular path, MEAT checklist, and V28 HCC mapping, or in the Encoder to code from a keyword search. Pro includes 7 days to try everything, no card required.

Open in Code BookOpen in EncoderStart Pro