ICD-10 Coding for Apraxia(R48.2, I69.90)
Complete ICD-10-CM coding and documentation guide for Apraxia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Apraxia
R47-R49Primary Range
Speech disturbances
This range includes codes for various speech disturbances, including apraxia.
Sequelae of cerebrovascular disease
Used when apraxia is a result of cerebrovascular disease, requiring a different primary code.
Pervasive and specific developmental disorders
Includes codes for developmental speech disorders, relevant for childhood apraxia.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| R48.2 | Apraxia | Use for isolated apraxia without underlying etiology. |
|
| I69.90 | Sequelae of unspecified cerebrovascular disease | Use when apraxia is a result of cerebrovascular disease. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for apraxia
Essential facts and insights about Apraxia
Primary ICD-10-CM Codes for apraxia
Decision Criteria
clinical Criteria
- Presence of inconsistent speech errors and groping movements.
coding Criteria
- Avoid using with I69 codes unless stroke-related.
Applicable To
- Isolated apraxia
Excludes
- Apraxia following cerebrovascular disease (I69._)
Clinical Validation Requirements
- Inconsistent errors in speech
- Groping movements
- Distorted vowels
Code-Specific Risks
- Misuse with stroke-related apraxia
Coding Notes
- Ensure documentation specifies isolated apraxia without stroke history.
I69.90 - Sequelae of unspecified cerebrovascular disease
Use when apraxia is a result of cerebrovascular disease.
Applicable To
- Apraxia following stroke
Clinical Validation Requirements
- Documentation linking apraxia to recent stroke
Coding Notes
Always sequence I69._ first when apraxia is CVA-related.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Phonological disorder
F80.0Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Apraxia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R48.2.
Impact
Clinical: Inaccurate treatment planning., Regulatory: Potential audit issues., Financial: Denied claims due to insufficient documentation.
Mitigation Strategy
Use specific descriptors for speech errors., Include quantitative data like DDK rates.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 coding rules., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use I69.90 for apraxia related to cerebrovascular disease.
Impact
Using R48.2 instead of I69.90 for post-stroke apraxia.
Mitigation Strategy
Train staff on correct code usage and sequencing.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Apraxia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Apraxia
Use these documentation templates to ensure complete and accurate documentation for Apraxia. These templates include all required elements for proper coding and billing.
Acquired apraxia post-TBI
Specialty: Speech-Language PathologyRequired Elements
- Articulatory groping
- Inconsistent speech errors
- DDK rates
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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