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G11.4
Hereditary spastic paraplegia
ICD10CM code
Medical Policies and Guidelines for Hereditary spastic paraplegia
Related policies from health plans
ANTHEM-BLUECROSS-CA
Botulinum Toxin
CIGNA
Electrodiagnostic Testing (EMG/NCV) - (CPG129)
CIGNA
Electrodiagnostic Testing (EMG/NCV) - (CPG129)
OSCAR
Botulinum Toxin (CG033)
OSCAR
Botulinum Toxin (CG033)
CIGNA
Orthotic Devices and Shoes - (0543)
SUNFLOWER
Concert Genetic Testing: Epilepsy Neurodegenerative and Neuromuscular Conditions (PDF)
Similar Codes
ICD10CM codes
G11.4
- Hereditary spastic paraplegia
G04.1
- Tropical spastic paraplegia
G82.2
- Paraplegia
G82.20
- Paraplegia, unspecified
G80.1
- Spastic diplegic cerebral palsy
G81.1
- Spastic hemiplegia
G82.21
- Paraplegia, complete
G80.0
- Spastic quadriplegic cerebral palsy
G80.2
- Spastic hemiplegic cerebral palsy
G82.22
- Paraplegia, incomplete
HCPCS codes
G8404
- Lower extremity neurological exam performed and documented
L1499
- Spinal orthosis, not otherwise specified
L0999
- Addition to spinal orthosis, not otherwise specified
E1100
- Semi-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests
L2999
- Lower extremity orthoses, not otherwise specified
L2200
- Addition to lower extremity, limited ankle motion, each joint
K0108
- Wheelchair component or accessory, not otherwise specified
E1060
- Fully-reclining wheelchair, detachable arms, desk or full length, swing away detachable elevating le
E1130
- Standard wheelchair, fixed full length arms, fixed or swing away detachable footrests
E1222
- Wheelchair with fixed arm, elevating legrests
CPT4 codes
81448
- Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence a
29325
- Application of hip spica cast; 1 and one-half spica or both legs
63706
- Repair of myelomeningocele; larger than 5 cm diameter
95861
- Needle electromyography; 2 extremities with or without related paraspinal areas
63704
- Repair of myelomeningocele; less than 5 cm diameter
27158
- Osteotomy, pelvis, bilateral (eg, congenital malformation)
27601
- Decompression fasciotomy, leg; posterior compartment(s) only
95860
- Needle electromyography; 1 extremity with or without related paraspinal areas
63190
- Laminectomy with rhizotomy; more than 2 segments
81337
- SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known fami
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