ICD-10-CM Code G04.1

Tropical spastic paraplegia

Version 2021 Billable Code

Valid for Submission

G04.1 is a billable code used to specify a medical diagnosis of tropical spastic paraplegia. The code is valid for the fiscal year 2021 for the submission of HIPAA-covered transactions. The ICD-10-CM code G04.1 might also be used to specify conditions or terms like disease due to deltaretrovirus or human t-cell lymphotropic virus 1-associated myelopathy or human t-lymphotropic virus 1 infection or infection caused by human t-lymphotropic virus.

ICD-10:G04.1
Short Description:Tropical spastic paraplegia
Long Description:Tropical spastic paraplegia

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code G04.1 are found in the index:


Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Disease due to Deltaretrovirus
  • Human T-cell lymphotropic virus 1-associated myelopathy
  • Human T-lymphotropic virus 1 infection
  • Infection caused by Human T-lymphotropic virus

Clinical Information

  • PARAPARESIS TROPICAL SPASTIC-. a subacute paralytic myeloneuropathy occurring endemically in tropical areas such as the caribbean colombia india and africa as well as in the southwestern region of japan; associated with infection by human t cell leukemia virus i. clinical manifestations include a slowly progressive spastic weakness of the legs increased reflexes babinski signs incontinence and loss of vibratory and position sensation. on pathologic examination inflammatory demyelination and necrotic lesions may be found in the spinal cord. adams et al. principles of neurology 6th ed p1239

Convert G04.1 to ICD-9

  • 344.1 - Paraplegia NOS (Approximate Flag)

Code Classification

  • Diseases of the nervous system (G00–G99)
    • Inflammatory diseases of the central nervous system (G00-G09)
      • Encephalitis, myelitis and encephalomyelitis (G04)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021

Information for Patients


Encephalitis

Encephalitis is an inflammation of the brain. Usually the cause is a viral infection, but bacteria can also cause it. It can be mild or severe. Most cases are mild. You may have flu-like symptoms. With a mild case, you may just need rest, plenty of fluids, and a pain reliever.

Severe cases need immediate treatment. Symptoms of severe cases include

  • Severe headache
  • Sudden fever
  • Drowsiness
  • Vomiting
  • Confusion
  • Seizures

In babies, additional symptoms may include constant crying, poor feeding, body stiffness, and bulging in the soft spots of the skull.

Severe cases may require a stay in the hospital. Treatments include oral and intravenous (IV) medicines to reduce inflammation and treat infection. Patients with breathing difficulties may need artificial respiration. Some people may need physical, speech, and occupational therapy once the illness is under control.

NIH: National Institute of Neurological Disorders and Stroke

  • Cerebral spinal fluid (CSF) collection (Medical Encyclopedia)
  • CSF analysis (Medical Encyclopedia)
  • Encephalitis (Medical Encyclopedia)
  • Japanese Encephalitis Vaccine: What You Need to Know (Centers for Disease Control and Prevention)
  • Subacute sclerosing panencephalitis (Medical Encyclopedia)

[Learn More]

Paralysis

Also called: Hemiplegia, Palsy, Paraplegia, Quadriplegia

Paralysis is the loss of muscle function in part of your body. It happens when something goes wrong with the way messages pass between your brain and muscles. Paralysis can be complete or partial. It can occur on one or both sides of your body. It can also occur in just one area, or it can be widespread. Paralysis of the lower half of your body, including both legs, is called paraplegia. Paralysis of the arms and legs is quadriplegia.

Most paralysis is due to strokes or injuries such as spinal cord injury or a broken neck. Other causes of paralysis include

  • Nerve diseases such as amyotrophic lateral sclerosis
  • Autoimmune diseases such as Guillain-Barre syndrome
  • Bell's palsy, which affects muscles in the face

Polio used to be a cause of paralysis, but polio no longer occurs in the U.S.

  • Hyperkalemic periodic paralysis (Medical Encyclopedia)
  • Hypokalemic periodic paralysis (Medical Encyclopedia)
  • Muscle function loss (Medical Encyclopedia)

[Learn More]