AHA Coding Clinic® for ICD-9 - 2008 Issue 4; VOLUMES 1 AND 2 NEW/REVISED CODES

Functional Quadriplegia

Effective October 1, 2008, a new code has been created to uniquely identify functional quadriplegia (780.72). Functional quadriplegia is not a true paresis. It is the inability to move due to another condition (e.g., dementia, severe contractures, arthritis, etc.). The patient is immobile because of a severe physical disability or frailty. There is usually some underlying cause, which most often will involve severe dementia. The individual does not have the mental ability to ambulate and functionally is the same as a paralyzed person. Instructional notes in the Tabular indicate that neurologic quadriplegia (344.00-344.09), hysterical...

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