G81.92 — Hemiplegia, unspecified affecting left dominant side

Risk adjustment

G81.92 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

G81.92 is named in 35 Medicare coverage policies — 30 listing it as supporting medical necessity, and 5 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

• A57701Billing and Coding: Trigger Point Injections (TPI)not covered
• A59480Billing and Coding: Trigger Point Injections (TPI)not covered
• A59487Billing and Coding: Trigger Point Injections (TPI)not covered
• A59498Billing and Coding: Trigger Point Injections (TPI)not covered