G82.2
Paraplegia
Clinical Classification Guidelines
Inclusion Terms
- Paralysis of both lower limbs NOS
- Paraparesis (lower) NOS
- Paraplegia (lower) NOS
Medical Intelligence & Overview
Paraplegia refers to the paralysis of both lower limbs, resulting from damage to the spinal cord or nerves that supply the legs. The condition can vary in severity—from complete paralysis to partial weakness—depending on the extent and location of the injury or problem. Using the ICD-10 code G82.2, paraplegia is classified as a neurological disorder affecting mobility and sensation in the lower body. It is a serious condition that impacts many aspects of daily life, including movement, bladder and bowel control, and sexual function.
Causes & Symptoms
Clinical Causes: Spinal cord injury caused by accidents or trauma, such as falls, car crashes, or sports injuries. Diseases that affect the spinal cord, like multiple sclerosis or transverse myelitis. Tumors pressing on the spinal cord or within the spinal canal. Infections involving the spinal cord, including meningitis or epidural abscess. Congenital conditions such as spina bifida. Vascular problems like spinal cord strokes or bleeding. Severe spinal stenosis that narrows the spinal canal. Degenerative conditions that damage the spinal cord or nerves.
Key Symptoms: Complete or partial paralysis of the legs. Loss of sensation or numbness in the lower limbs. Difficulty with bladder or bowel control. Possible muscle weakness or spasms. Loss of sexual function. Abnormal reflexes. Pain or a tingling sensation in the lower body. Depending on the cause, there may be associated symptoms such as back pain or sensory changes elsewhere in the body.
Diagnostic & Treatment
Diagnosis Path: To diagnose paraplegia, healthcare providers perform a comprehensive neurological examination assessing muscle strength, reflexes, sensation, and motor function. Imaging tests like MRI or CT scans are used to visualize the spinal cord and identify any damage, tumors, or structural abnormalities. Additional tests may include blood work to detect infections or inflammatory conditions and electrical studies like electromyography (EMG) to evaluate nerve function. The diagnosis helps determine the cause and guides appropriate treatment.
Treatment Protocols: Treatment of paraplegia focuses on managing the underlying cause, preventing further damage, and optimizing quality of life. Approaches may include:
Clinical Advice & FAQs
Billing Guidance
Is G82.2 a billable ICD-10 code?
Yes, G82.2 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report G82.2?
Clinical documentation must specify the nature of Paraplegia and any associated comorbidities for accurate reporting.
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