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ICD-10-CM G82.20: Paraplegia, unspecified

G82.20 is the billable ICD-10-CM code for paraplegia, unspecified, in category G82 (Paraplegia (paraparesis) and quadriplegia (quadriparesis)) of the Cerebral palsy and other paralytic syndromes section. As a principal diagnosis it 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). It maps to HCC 181 (Paraplegia) in CMS-HCC V28. As a secondary diagnosis it is a CC, excluded with 138 principal diagnoses. 9 LCD billing and coding articles list it as covered.

Compiled from CMS files by the QuickIntell RCM Editorial Team · Data effective · Method: reference methodology · Report a data correction

Data currency: ICD-10-CM code descriptions: FY2027 (effective October 1, 2026); IPPS Table 5 (MS-DRG weights): v44 FY2027 (final rule + CN3) (effective October 1, 2026); ICD-10-CM to HCC mapping: PY2027 initial ICD-10-CM mappings (dates of service 2026) (payment year 2027); Medicare Coverage Database billing and coding articles: MCD release October 8, 2026 (effective October 4, 2026). Next CMS release: FY2028 code files, effective October 1, 2027 for the ICD-10-CM code descriptions; FY2028 final rule (August 2027), effective October 1, 2027; an April 1 interim grouper update when CMS issues one for the IPPS Table 5 (MS-DRG weights); PY2028 advance notice (February 2027) and the PY2027 midyear final mapping (spring 2027) for the ICD-10-CM to HCC mapping; weekly, every Thursday for the Medicare Coverage Database billing and coding articles.

Code
G82.20
billable FY2027 ICD-10-CM code
Category
G82 Paraplegia (paraparesis) and quadriplegia (quadriparesis)
Chapter
6: Diseases of the nervous system (G00-G99)
CC/MCC (MS-DRG v44)
CC
CMS-HCC V28
HCC 181
POA reporting
Required

Tabular list notes for G82.20

The tabular list has no notes on G82.20 itself; the notes below apply from its parent headings.

Inherited from G82 (Paraplegia (paraparesis) and quadriplegia (quadriparesis))

Excludes1 (never coded together)
  • congenital cerebral palsy (G80.-)
  • functional quadriplegia (R53.2)
  • hysterical paralysis (F44.4)
Notes
  • This category is to be used only when the listed conditions are reported without further specification, or are stated to be old or longstanding but of unspecified cause. The category is also for use in multiple coding to identify these conditions resulting from any cause

Inherited from G82.2 (Paraplegia)

Inclusion terms
  • Paralysis of both lower limbs NOS
  • Paraparesis (lower) NOS
  • Paraplegia (lower) NOS

MS-DRG grouping when G82.20 is the principal diagnosis

MS-DRG v44 groups for G82.20 as principal diagnosis
MDCMS-DRGs
01 MDC 01: Diseases and Disorders of the Nervous System052053

The final group also depends on procedures, secondary diagnoses and discharge status; the MS-DRG lookup for G82.20 shows the full grouping logic.

CC/MCC status and inpatient edits

As a secondary diagnosis, G82.20 is a CC under MS-DRG v44, unless the principal diagnosis is one of the 138 codes in its exclusion list. Check G82.20 against a principal diagnosis.

  • Present on admission: a POA indicator is required on inpatient claims.

CMS-HCC V28 risk adjustment

In the PY2027 mapping, G82.20 maps to HCC 181 (Paraplegia). The HCC lookup shows the RAF weight and the hierarchy.

LCD billing and coding articles that list G82.20

9 current Medicare billing and coding articles list G82.20 among the diagnoses that support medical necessity for the services they cover.

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Frequently asked questions

What does ICD-10-CM G82.20 mean?

G82.20 means paraplegia, unspecified. It is one of 8 billable codes under G82, paraplegia (paraparesis) and quadriplegia (quadriparesis).

Which MS-DRG does G82.20 group to?

As the principal diagnosis, G82.20 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 G82.20 map to an HCC?

Yes: HCC 181, Paraplegia, in the PY2027 CMS-HCC V28 mapping.

Is G82.20 a CC or MCC?

G82.20 is a CC under MS-DRG v44; 138 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.

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.