ICD-10 Coding for Ataxia(R27.0, G11.9)
Complete ICD-10-CM coding and documentation guide for Ataxia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Ataxia
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| R27.0 | Ataxia, unspecified | Use when ataxia is present but the underlying cause is not identified. |
|
| G11.9 | Hereditary ataxia, unspecified | Use when hereditary ataxia is confirmed by genetic testing. |
|
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 ataxia
Essential facts and insights about Ataxia
Primary ICD-10-CM Codes for ataxia
Decision Criteria
clinical Criteria
- Presence of ataxia without identified etiology
coding Criteria
- No specific hereditary or acquired cause identified
Clinical Validation Requirements
- Normal brain MRI
- Negative genetic testing
- No history of stroke or trauma
Code-Specific Risks
- Using R27.0 when a more specific code is available can lead to reimbursement issues.
Coding Notes
- Ensure documentation specifies if ataxia is hereditary or symptomatic.
G11.9 - Hereditary ataxia, unspecified
Use when hereditary ataxia is confirmed by genetic testing.
Applicable To
- Unspecified hereditary ataxia
Excludes
- Ataxia, unspecified (R27.0)
Clinical Validation Requirements
- Genetic test report confirming hereditary ataxia
Coding Notes
Ensure genetic confirmation is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Unsteadiness on feet
R26.81Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Ataxia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R27.0.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Ensure thorough patient history and testing., Use specific codes when etiology is known.
Impact
Reimbursement: Incorrect coding can lead to lower reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on hereditary conditions.
Mitigation Strategy
Use G11.- series codes for hereditary ataxia.
Impact
Using R27.0 when a more specific code is applicable.
Mitigation Strategy
Ensure thorough documentation and use of specific codes.
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 Ataxia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Ataxia
Use these documentation templates to ensure complete and accurate documentation for Ataxia. These templates include all required elements for proper coding and billing.
Chronic ataxia evaluation
Specialty: NeurologyRequired Elements
- Patient history
- Neurological examination
- Imaging results
- Genetic testing
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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