G80.2
G80.2: Spastic hemiplegic cerebral palsy
Billable / specific codeICD-10-CM
G80.2 is a billable, specific ICD-10-CM code for spastic hemiplegic cerebral palsy. It is valid for submission on a claim.
Check G80.2 with the rest of the claim: free scrubberOther codes that can never be billed with G80.2
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
G80.2 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
G80.2 is named in 28 Medicare coverage policies: 28 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
- Hemiplegia›congenital›spastic
- Hemiplegia›spastic›congenital
- Palsy›cerebral›hemiplegic›spastic
- Palsy›cerebral›spastic›hemiplegic
Code history
Unchanged in every release from FY2024 to FY2027.