Tabular list notes for G80.1
The tabular list has no notes on G80.1 itself; the notes below apply from its parent headings.
Inherited from G80 (Cerebral palsy)
- Excludes1 (never coded together)
- hereditary spastic paraplegia (G11.4)
MS-DRG grouping when G80.1 is the principal diagnosis
The final group also depends on procedures, secondary diagnoses and discharge status; the MS-DRG lookup for G80.1 shows the full grouping logic.
CC/MCC status and inpatient edits
As a secondary diagnosis, G80.1 is a CC under MS-DRG v44, unless the principal diagnosis is one of the 10 codes in its exclusion list. Check G80.1 against a principal diagnosis.
- Present on admission: a POA indicator is required on inpatient claims.
CMS-HCC V28 risk adjustment
In the PY2027 mapping, G80.1 maps to HCC 192 (Cerebral Palsy, Except Quadriplegic). The HCC lookup shows the RAF weight and the hierarchy.
LCD billing and coding articles that list G80.1
25 current Medicare billing and coding articles list G80.1 among the diagnoses that support medical necessity for the services they cover.
- Billing and Coding: Home Health Speech-Language Pathology A53052
- Billing and Coding: Home Health Occupational Therapy A53057
- Billing and Coding: Home Health Physical Therapy A53058
- Billing and Coding: Outpatient Occupational Therapy A53064
- Billing and Coding: Outpatient Physical Therapy A53065
- Billing and Coding: Nerve Conduction Studies and Electromyography A54095
- Billing and Coding: Nerve Conduction Studies and Electromyography A54969
- Billing and Coding: CT of the Head A56612
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Frequently asked questions
What does ICD-10-CM G80.1 mean?
G80.1 means spastic diplegic cerebral palsy. It is one of 7 billable codes under G80, cerebral palsy.
What can't be coded with G80.1?
Excludes1 at G80: hereditary spastic paraplegia (G11.4). These are never reported together with G80.1.
Which MS-DRG does G80.1 group to?
As the principal diagnosis, G80.1 groups to MS-DRG 052 Spinal Disorders and Injuries with CC/MCC, MS-DRG 053 Spinal Disorders and Injuries without CC/MCC (MDC 01 MDC 01: Diseases and Disorders of the Nervous System) under MS-DRG v44, before procedures and secondary diagnoses are applied.
Does G80.1 map to an HCC?
Yes: HCC 192, Cerebral Palsy, Except Quadriplegic, in the PY2027 CMS-HCC V28 mapping.
Is G80.1 a CC or MCC?
G80.1 is a CC under MS-DRG v44; 10 principal diagnoses exclude it.
Sources
Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-10. Verify against the primary file before billing or contracting decisions. The reference methodology explains how each figure is computed from these files.
- ICD-10-CM FY2027 tabular order file (category titles)Version FY2027 · effective 2026-10-01 · file icd10cm_order_2027.txtSHA-256 38981fb2c1226e2b…
- ICD-10-CM FY2027 tabular list (chapter titles and ranges)Version FY2027 · effective 2026-10-01 · file 2027-code-tables-tabular-index.zipSHA-256 37baa476323714be…
- ICD-10-CM FY2027 code descriptions addenda (codes added, deleted and revised)Version FY2027 · effective 2026-10-01 · file icd10cm_codes_addenda_2027.txtSHA-256 cfba025073235af4…
- ICD-10 MS-DRG Definitions Manual v44 (text)Version v44 · effective 2026-10-01 · file fy2027-fr-icd10-ms-drg-definitions-manual-files-v44.zipSHA-256 ae4f6c11727fe91f…
- IPPS FY2027 Tables 6A-6K: new, invalid and revised ICD-10-CM/PCS codes, CC/MCC list changes and CC exclusionsVersion FY2027 (final rule; not reissued by CN3) · effective 2026-10-01 · file fy2027-ipps-fr-tables-6a-6k.zipSHA-256 ca0af87b0869a405…
- ICD-10-CM FY2027 POA-exempt codes (full list, additions, deletions and revisions)Version FY2027 · effective 2026-10-01 · file 2027-poa-exempt-codes.zipSHA-256 03f55091045024d0…
- ICD-10-CM to CMS-HCC V28 mappings, payment year 2027 initialVersion PY2027 initial ICD-10-CM mappings (dates of service 2026) · effective 2027-01-01 · file 2027 Initial ICD-10-CM Mappings.csvSHA-256 9c260b06d0dd2806…
- Medicare Coverage Database, current Billing and Coding Articles exportVersion MCD release 2026-10-08 · effective 2026-10-04 · file article.csvSHA-256 5e95c4a8ac3664be…
Disclaimer
The descriptor and notes are reproduced from the FY2027 ICD-10-CM files; MS-DRG, CC/MCC and HCC facts come from the CMS FY2027 and PY2027 tables. Code from the medical record and the ICD-10-CM Official Guidelines. Not legal, clinical or billing advice.
Found a figure that does not match the CMS file? Report a data correction with the CMS file and the value you expected; the request reaches the editorial team through the contact form.