R53.2 — Functional quadriplegia
R53.2 is a billable, specific ICD-10-CM code for functional quadriplegia. It is valid for submission on a claim.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Complete immobility due to severe physical disability or frailty
Other codes that can never be billed with R53.2
These codes carry an Excludes1 note pointing at R53.2. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading R53.2 alone.
- G82Paraplegia (paraparesis) and quadriplegia (quadriparesis)
Risk adjustment
R53.2 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 180 Quadriplegia1.125 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
R53.2 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56619Billing and Coding: Nerve Conduction Studies and Electromyography
How R53.2 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to R53.2.
- Immobile, immobility›complete, due to severe physical disability or frailty
- Quadriplegia›functional
Related codes at this level
Codes that share R53. If R53.2 is not quite right, the correct code is usually one of these.
Questions about R53.2
- Is R53.2 a billable ICD-10-CM code?
- Yes. R53.2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does R53.2 sit in the tabular list?
- Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block General symptoms and signs (R50-R69).
- What cannot be coded together with R53.2?
- R53.2 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.