Functional quadriplegia (R53.2) is defined as “the inability to move due to severe disability or frailty caused by another condition without physical injury or damage to the brain or spinal cord,” describes Richard Pinson, MD. This oft-overlooked secondary diagnosis may have significant impact on the final MS-DRG, relative weight, length of stay (LOS), severity of illness (SOI), and risk of mortality/morbidity (ROM) of any case, as it is a major complication/comorbidity (MCC).

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