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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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This short coding update covers a newly created ICD-9-CM diagnosis code for functional quadriplegia, along with brief background on the condition and related tabular exclusions. It is relevant for coding professionals, CDI staff, and others who need to understand how the term is being represented in the diagnosis code set and what related entries are referenced in the tabular list.

Why This Topic Matters

The article matters because it highlights a new diagnosis code effective in a specific date year and points to related index/tabular references that affect code lookup and record classification.

What You Will Learn

  • How functional quadriplegia is identified in the diagnosis code set
  • What broad clinical concept the term refers to
  • Which related tabular entries are referenced alongside the new code
  • What types of excluded conditions are mentioned in the update

Who Should Read This

  • Medical coders
  • Coding auditors
  • Clinical documentation improvement specialists
  • Health information management professionals

Codes Discussed

  • ICD-9-CM: 780.72
  • ICD-9-CM: 300.11
  • ICD-9-CM: 728.3
  • ICD-9-CM: 344.00

Code Ranges Discussed

  • ICD-9-CM: 344.00-344.09

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