G82.22 ICD-10-CM Code: Paraplegia, incomplete
HCC Buddy Code Card
Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.
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 guidanceParaplegia, incomplete
Partial paralysis of both legs where some muscle function or sensation remains, but the legs are not completely paralyzed.
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.
CMS-HCC V28
MappedHCC 181
RAF 0.274
CMS-HCC V24
MappedHCC 71
RAF 0.550
ACA/HHS
00
RAF 0
ESRD/PACE
MappedHCC 71
RAF 0.0
RXHCC
00
RAF 0
Code Trumping
Basket needed
Code Book Path
Inclusion Terms
Official- Paralysis of both lower limbs NOS
- Paraparesis (lower) NOS
- Paraplegia (lower) NOS
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for G82.22 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for G82.22 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for G82.22 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for G82.22 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for G82.22 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for G82.22 in this effective period.
Buddy Documentation Tip
MEAT Support
Audit Caution
Common Mistakes
Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.
Is G82.22 an HCC code?
Yes. G82.22 maps to Paraplegia under the CMS-HCC V28 risk adjustment model (and Paraplegia under V24).
HCC Category Mapping
RAF weights shown are the community, non-dual, aged base weights from the CMS risk adjustment model file. Actual per-patient RAF contribution depends on member segment, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains in use during the transition and for historical data.
MEAT Criteria for G82.22
For G82.22to count as a valid HCC diagnosis in a given encounter, the provider's documentation must show MEAT: Monitor, Evaluate, Assess, or Treat. A diagnosis from a prior year does not carry forward automatically, it has to be re-documented and supported each calendar year.
- 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
Only one of M/E/A/T is required to support the code, but the documentation must be specific enough to show that the provider actually addressed G82.22 during that encounter, not just copy-forwarded from a problem list.
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 community, non-dual, aged base RAF weight of 0.274. Under the older V24 model, G82.22 mapped to the same category but with a base RAF weight of 0.550, V28 recalibrated weights across the entire model. V28 is the CMS-HCC risk adjustment model that reached 100% phase-in for payment year 2026, replacing V24 which was used during the PY2024–PY2025 transition.
Incomplete paraplegia indicates some preservation of motor or sensory function below the level of injury. Because G82.22 maps to a payment HCC, the provider's documentation must satisfy MEAT criteria (Monitor, Evaluate, Assess, or Treat) for the encounter to count toward the patient's Medicare Advantage risk adjustment score. 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, RAF weights, 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