R53.2 Functional quadriplegia

Billable ICD-10-CM code, FY2026. Acts as a Major Complication or Comorbidity (MCC) as a secondary diagnosis.

Applicable to

• Complete immobility due to severe physical disability or frailty

Excludes1 (never code together)

• frailty NOS (R54)
• hysterical paralysis (F44.4)
• immobility syndrome (M62.3)
• neurologic quadriplegia (G82.5-)
• quadriplegia (G82.50)

Risk adjustment (HCC)

• CMS-HCC V28: HCC 180 — Quadriplegia
• CMS-HCC V22: HCC 70 — Quadriplegia
• ESRD V24: HCC 70

MS-DRG index

Defines the logic of DRG(s) 947-948 in MDC 23.

Approximate ICD-9-CM (GEMs)

• 780.72 Functional quadriplegia

Code annotations containing back-references to R53.2

Back-references to R53.2

• Type 1 Excludes: G82 Paraplegia (paraparesis) and quadriplegia (quadriparesis) ("functional quadriplegia (R53.2)")

Diagnosis Index entries for R53.2

• Immobile, immobility › complete, due to severe physical disability or frailty
• Quadriplegia › functional

Nearby codes

• R53 Malaise and fatigue
• R53.0 Neoplastic (malignant) related fatigue
• R53.1 Weakness
• R53.2 Functional quadriplegia (this code)
• R53.8 Other malaise and fatigue
• R53.81 Other malaise
• R53.82 Chronic fatigue, unspecified
• R53.83 Other fatigue