ICD Code M62.3

ICD code M623 refers to "Immobility syndrome (paraplegic)." This code is used to classify and document a condition where an individual experiences immobility due to paraplegia, which is the paralysis of the lower half of the body typically caused by spinal cord injury or disease. This code helps healthcare providers accurately record and communicate the patient's condition for treatment planning, billing, and statistical purposes. It is essential for ensuring that the healthcare services provided are appropriately documented and reimbursed.

When to use the ICD code for Immobility Syndrome (Paraplegic):

1. Diagnosis of Paraplegia
- Confirmed diagnosis of paraplegia due to spinal cord injury, disease, or congenital condition.

2. Loss of Motor Function
- Significant loss of voluntary motor function in the lower extremities.

3. Sensory Impairment
- Presence of sensory deficits in the lower limbs, including loss of sensation or altered sensation.

4. Bowel and Bladder Dysfunction
- Evidence of bowel and bladder control issues, such as incontinence or retention.

5. Muscle Weakness
- Documented muscle weakness in the legs, affecting mobility and daily activities.

6. Joint Contractures
- Development of joint contractures due to prolonged immobility or lack of movement.

7. Pressure Ulcers
- Presence of pressure ulcers or skin breakdown due to immobility.

8. Functional Limitations
- Significant limitations in activities of daily living (ADLs) related to mobility.

9. Medical History
- Relevant medical history indicating previous conditions or injuries leading to immobility.

10. Multidisciplinary Assessment
- Evaluation by a multidisciplinary team confirming the diagnosis and impact on the patient’s quality of life.

These criteria should be thoroughly documented to ensure accurate coding and appropriate reimbursement in the healthcare revenue cycle management process.

For the ICD code M623, which pertains to immobility syndrome (paraplegic), the relevant CPT codes that may be applicable for treatment and management include:

1. 97110 - Therapeutic exercises to develop strength and endurance, range of motion, and flexibility.

2. 97112 - Neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and proprioception.

3. 97530 - Therapeutic activities, direct (one-on-one) patient contact by the provider (use of dynamic activities to improve functional performance).

4. 97542 - Wheelchair management (e.g., assessment, fitting, training), each 15 minutes.

5. 97750 - Physical performance test or measurement (e.g., musculoskeletal, functional capacity), with written report, each 15 minutes.

6. G0281 - Electrical stimulation (unattended), to one or more areas, for chronic stage III and stage IV pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care.

These CPT codes are examples of procedures and services that may be utilized in the management and treatment of conditions associated with ICD code M623. It is important for healthcare providers to select the most appropriate CPT codes based on the specific services rendered and the individual needs of the patient.

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