G80.1: Spastic diplegic cerebral palsy
G80.1 is a billable, specific ICD-10-CM code for spastic diplegic cerebral palsy. It is valid for submission on a claim.
Check G80.1 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Spastic cerebral palsy NOS
Other codes that can never be billed with G80.1
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
G80.1 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 192 Cerebral Palsy, Except Quadriplegic0.314 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
G80.1 is named in 26 Medicare coverage policies: 26 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53052Billing and Coding: Home Health Speech-Language Pathology
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
Alphabetic index entries that lead here
- Cerebrospasticity(congenital)
- Diplegia›spastic
- Palsy›spastic(cerebral) (spinal)
- Paralysis, paralytic›cerebrocerebellar, diplegic
- Spastic, spasticity›child(cerebral) (congenital) (paralysis)
- Monoplegia›congenital›spastic
- Palsy›cerebral›spastic
- Paraplegia›congenital›spastic
- Palsy›cerebral›diplegic›spastic
- Palsy›cerebral›monoplegic›spastic
- Palsy›cerebral›paraplegic›spastic
- Palsy›cerebral›spastic›diplegic
Code history
Unchanged in every release from FY2024 to FY2027.