G81.00
G81.00 — Flaccid hemiplegia affecting unspecified side
Billable / specific codeICD-10-CMunspecified
G81.00 is a billable, specific ICD-10-CM code for flaccid hemiplegia affecting unspecified side. It is valid for submission on a claim.
Risk adjustment
G81.00 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 253 Hemiplegia/Hemiparesis0.387 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.
Medicare coverage
G81.00 is named in 3 Medicare coverage policies — 3 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
- A56551Billing and Coding: Visual Fields Testing
- A57668Billing and Coding: Nerve Conduction Studies and Electromyography
Related codes at this level
Codes that share G81.0. If G81.00 is not quite right, the correct code is usually one of these.
Questions about G81.00
- Is G81.00 a billable ICD-10-CM code?
- Yes. G81.00 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does G81.00 sit in the tabular list?
- Diseases of the nervous system (G00-G99), in the block Cerebral palsy and other paralytic syndromes (G80-G83).