R53.2

HCC Category Mapping

What This Code Means

Complete inability to move or function independently in all four limbs, though the person is conscious and aware. This represents a severe loss of physical function.

Coding Tips

• •This code indicates functional loss rather than true paralysis; verify the patient is conscious and alert
• •Investigate and code the underlying cause (stroke, spinal cord injury, severe illness) when identified

Clinical Significance

Functional quadriplegia represents complete loss of motor function in all four extremities while maintaining consciousness and sensation, indicating severe neurological impairment requiring extensive supportive care. This condition has significant impact on risk adjustment due to the intensive medical management, rehabilitation needs, and high risk of complications associated with immobility.

Documentation Requirements

• ✓Documentation of complete loss of motor function in all extremities
• ✓Preserved consciousness and awareness
• ✓Underlying neurological cause if identified
• ✓Functional assessment and mobility status
• ✓Respiratory function assessment
• ✓Complications of immobility addressed
• ✓Care planning and rehabilitation needs
• ✓Assistive devices and support requirements

Commonly Confused Codes