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ICD-10 Coding for Blepharospasm(G24.5)

Complete ICD-10-CM coding and documentation guide for Blepharospasm. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Eyelid SpasmBenign Essential Blepharospasm

Related ICD-10 Code Ranges

Complete code families applicable to Blepharospasm

G24-G26Primary Range

Other extrapyramidal and movement disorders

This range includes codes for various movement disorders, including blepharospasm.

Key Information: ICD-10 code for blepharospasm

Essential facts and insights about Blepharospasm

The ICD-10 code for blepharospasm is G24.5, used for involuntary bilateral eyelid spasms not induced by drugs.

Primary ICD-10-CM Code for blepharospasm

Blepharospasm
Billable Code

Decision Criteria

clinical Criteria

  • Presence of bilateral, synchronous eyelid spasms

documentation Criteria

  • Document sensory tricks and functional impairment

Applicable To

  • Involuntary bilateral eyelid closure/spasms

Excludes

  • Drug-induced blepharospasm (G24.01)

Clinical Validation Requirements

  • Bilateral, synchronous orbicularis oculi spasms
  • Sensory trick present
  • Functional impairment documented

Code-Specific Risks

  • Misclassification with drug-induced blepharospasm

Coding Notes

  • Ensure bilateral involvement is documented to avoid misclassification.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Drug-induced blepharospasm

G24.01
Use when blepharospasm is caused by antipsychotics or neuroleptics.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Hemifacial spasm

G51.3
Unilateral facial muscle involvement

Oromandibular dystonia

G24.4
Jaw involvement (Meige syndrome)

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Blepharospasm to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G24.5.

Impact

Clinical: May lead to incorrect diagnosis., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.

Mitigation Strategy

Always specify laterality in documentation.

Impact

Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data reporting.

Mitigation Strategy

Use G51.3 for hemifacial spasm

Impact

Failure to document bilateral involvement may lead to audit issues.

Mitigation Strategy

Ensure thorough documentation of clinical findings.

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 Blepharospasm, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Blepharospasm

Use these documentation templates to ensure complete and accurate documentation for Blepharospasm. These templates include all required elements for proper coding and billing.

Neurology Clinic Visit

Specialty: Neurology

Required Elements

  • History of Spasms
  • Functional Impact
  • Sensory Tricks
  • Exam Findings

Example Documentation

Patient presents with bilateral eyelid spasms, reports temporary relief with humming. Exam shows sustained bilateral orbicularis oculi contractions.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has eye twitching.
Good Documentation Example
Patient exhibits bilateral, rhythmic orbicularis oculi contractions lasting 2-5 seconds, unresponsive to artificial tears.
Explanation
The good example provides specific clinical details necessary for accurate coding.

Need help with ICD-10 coding for Blepharospasm? Ask your questions below.

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