ICD-10 · PDGM grouping
G81 Hemiplegia and hemiparesis
All 15 codes in the G81 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
Codes in family
15
Can lead a claim
12
Cannot lead a claim
3
What CMS assigns to G81
12 of the 15 codes group to Neuro Rehabilitation; 3 are assigned no clinical group. 12 of the 15 count toward the Paraplegia, Hemiplegia and Quadriplegia comorbidity subgroup; 3 are assigned none. 12 of the 15 can lead a claim.
- Paraplegia, Hemiplegia and Quadriplegia: can award the low comorbidity tier as a secondary diagnosis.
Every code in G81
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| G81.0 Flaccid hemiplegia | ||||
| G81.00 | Flaccid hemiplegia affecting unspecified side | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| G81.01 | Flaccid hemiplegia affecting right dominant side | Can lead a claim | B | Paraplegia, Hemiplegia and Quadriplegia |
| G81.02 | Flaccid hemiplegia affecting left dominant side | Can lead a claim | B | Paraplegia, Hemiplegia and Quadriplegia |
| G81.03 | Flaccid hemiplegia affecting right nondominant side | Can lead a claim | B | Paraplegia, Hemiplegia and Quadriplegia |
| G81.04 | Flaccid hemiplegia affecting left nondominant side | Can lead a claim | B | Paraplegia, Hemiplegia and Quadriplegia |
| G81.1 Spastic hemiplegia | ||||
| G81.10 | Spastic hemiplegia affecting unspecified side | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| G81.11 | Spastic hemiplegia affecting right dominant side | Can lead a claim | B | Paraplegia, Hemiplegia and Quadriplegia |
| G81.12 | Spastic hemiplegia affecting left dominant side | Can lead a claim | B | Paraplegia, Hemiplegia and Quadriplegia |
| G81.13 | Spastic hemiplegia affecting right nondominant side | Can lead a claim | B | Paraplegia, Hemiplegia and Quadriplegia |
| G81.14 | Spastic hemiplegia affecting left nondominant side | Can lead a claim | B | Paraplegia, Hemiplegia and Quadriplegia |
| G81.9 Hemiplegia, unspecified | ||||
| G81.90 | Hemiplegia, unspecified affecting unspecified side | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| G81.91 | Hemiplegia, unspecified affecting right dominant side | Can lead a claim | B | Paraplegia, Hemiplegia and Quadriplegia |
| G81.92 | Hemiplegia, unspecified affecting left dominant side | Can lead a claim | B | Paraplegia, Hemiplegia and Quadriplegia |
| G81.93 | Hemiplegia, unspecified affecting right nondominant side | Can lead a claim | B | Paraplegia, Hemiplegia and Quadriplegia |
| G81.94 | Hemiplegia, unspecified affecting left nondominant side | Can lead a claim | B | Paraplegia, Hemiplegia and Quadriplegia |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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