G82.54
BillableQuadriplegia, C5-C7 incomplete
HCC Category Mapping
V28HCC 180 — Quadriplegia
0.274V24HCC 70 — Quadriplegia
0.885ESRDHCC 70 — Quadriplegia
0.000What This Code Means
Partial paralysis of all four limbs resulting from injury to the lower cervical spinal cord (C5-C7 vertebrae level), with some preservation of motor or sensory function below the injury.
Coding Tips
- •Incomplete quadriplegia at C5-C7 level generally has better functional prognosis than complete injuries at the same level
- •Ensure documentation supports both the C5-C7 level and incomplete status before coding
Clinical Significance
Incomplete quadriplegia at the C5-C7 level represents the most favorable prognosis among quadriplegia diagnoses, with preserved function at a lower cervical level allowing for greater independence in self-care, mobility, and potentially even modified driving. Rehabilitation potential is highest in this category, and patients may achieve significant functional gains with intensive therapy. Distinguishing this from other quadriplegia levels is essential for appropriate goal-setting.
Documentation Requirements
- ✓Documentation specifying C5-C7 level with incomplete quadriplegia
- ✓Description of preserved motor and sensory function
- ✓Neurological assessment details (ASIA classification if available)
- ✓Underlying etiology
- ✓Functional assessment and independence level
- ✓Rehabilitation progress and goals
- ✓Active treatment plan
- ✓Equipment and assistive device needs
Commonly Confused Codes
G82.53 Quadriplegia, C5-C7 complete — no preserved function at this levelG82.52 Quadriplegia, C1-C4 incomplete — higher level with typically more severe deficitsG82.50 Quadriplegia, unspecified — use when neither level nor completeness is documentedG82.22 Paraplegia, incomplete — only lower extremities affected