G83.84
BillableTodd's paralysis (postepileptic)
HCC Category Mapping
V28HCC 254 — Monoplegia, Other Paralytic Syndromes
0.000V24HCC 104 — Monoplegia, Other Paralytic Syndromes
0.304ESRDHCC 104 — Monoplegia, Other Paralytic Syndromes
0.000What This Code Means
Temporary paralysis or weakness that occurs after a seizure episode, gradually resolving as the brain recovers from the seizure activity.
Coding Tips
- •Ensure the seizure episode is documented and coded separately (typically with G40 codes)
- •Document the duration and resolution of the paralysis to distinguish from permanent neurological deficits
Clinical Significance
Todd paralysis is a transient neurological deficit, most commonly hemiparesis, that occurs after a seizure and typically resolves within 48 hours. Its significance lies in distinguishing it from acute stroke, which presents similarly but requires very different emergency management. In the risk adjustment context, this code identifies patients with active seizure disorders and their associated neurological complications, driving resource needs for ongoing epilepsy management.
Documentation Requirements
- ✓Documentation of temporary paralysis or weakness following a seizure episode
- ✓Temporal relationship to the seizure clearly documented
- ✓Duration and resolution of the paralysis
- ✓Underlying seizure disorder documented and coded separately (G40 codes)
- ✓Distinction from stroke or other permanent neurological deficit documented
- ✓Emergency evaluation workup to rule out stroke if applicable
- ✓Active seizure management plan
Commonly Confused Codes
I63.9 Cerebral infarction, unspecified — acute stroke, which is permanent; Todd paralysis is transientG81.90 Hemiplegia, unspecified — permanent hemiplegia, not post-seizure transient weaknessG40.901 Epilepsy, unspecified, not intractable, with status epilepticus — the underlying seizure should be coded separatelyR41.3 Other amnesia — postictal confusion, different postictal phenomenonG83.89 Other specified paralytic syndromes — less specific; use G83.84 when Todd paralysis is documented
Code Hierarchy
└G83Other paralytic syndromes└G83.8Other specified paralytic syndromes└G83.84Todd's paralysis (postepileptic)
└G83.84Todd's paralysis (postepileptic)