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ICD-10 Coding for ICD-10 Coding and Documentation(G20, J45.40)

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

Also known as:

ICD-10-CM CodingICD-10 Documentation

Related ICD-10 Code Ranges

Complete code families applicable to ICD-10 Coding and Documentation

G20-F02.80Primary Range

Parkinson's disease with dementia

This range covers the coding for Parkinson's disease and its manifestations, such as dementia.

Asthma

This range includes codes for different types and severities of asthma.

Type 2 Diabetes Mellitus

This range includes codes for type 2 diabetes and its complications.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
G20Parkinson's diseaseUse when Parkinson's disease is documented as the primary condition.
  • Clinical diagnosis of Parkinson's disease
J45.40Moderate persistent asthmaUse when asthma is documented as moderate persistent with exacerbation.
  • Spirometry showing reduced FEV1
  • Clinical documentation of moderate persistent asthma

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 coding for Parkinson's disease

Essential facts and insights about ICD-10 Coding and Documentation

Code G20 for Parkinson's disease and F02.80 for dementia, ensuring correct sequencing.

Primary ICD-10-CM Codes for data

Parkinson's disease
Non-billable Code

Decision Criteria

clinical Criteria

  • Diagnosis of Parkinson's disease confirmed by a neurologist.

Applicable To

  • Primary Parkinsonism

Excludes

  • Secondary Parkinsonism (G21)

Clinical Validation Requirements

  • Clinical diagnosis of Parkinson's disease

Code-Specific Risks

  • Ensure correct sequencing with manifestation codes.

Coding Notes

  • Ensure documentation specifies Parkinson's disease as primary.

Ancillary Codes

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

Dementia in Parkinson's disease

F02.80
Use as a secondary code to indicate dementia in Parkinson's.

Differential Codes

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

Secondary Parkinsonism

G21
Secondary Parkinsonism is due to external factors such as drugs or other diseases.

Chronic obstructive pulmonary disease, unspecified

J44.9
COPD includes chronic bronchitis and emphysema, not just asthma.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting ICD-10 Coding and Documentation to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G20.

Impact

Clinical: Leads to inadequate treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential for reduced reimbursement.

Mitigation Strategy

Always check for the most specific code available., Ensure documentation supports the chosen code.

Impact

Reimbursement: Incorrect sequencing can lead to claim denials., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Impacts the accuracy of clinical data.

Mitigation Strategy

Always sequence etiology first when 'code first' notes are present.

Impact

High risk of audit due to lack of specificity.

Mitigation Strategy

Ensure documentation supports the most specific code.

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 ICD-10 Coding and Documentation, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for ICD-10 Coding and Documentation

Use these documentation templates to ensure complete and accurate documentation for ICD-10 Coding and Documentation. These templates include all required elements for proper coding and billing.

Parkinson's disease with dementia

Specialty: Neurology

Required Elements

  • Chief complaint
  • Assessment
  • Plan

Example Documentation

[Chief Complaint]: 'Worsening tremors and memory loss' [Assessment]: 1. Parkinson's disease (G20) - Hoehn & Yahr Stage 3 - Levodopa-induced dyskinesia present 2. Dementia with behavioral disturbance (F02.81) - MoCA score 18/30 - Aggression documented per NPI-Q [Plan]: Adjust dopamine agonists; safety evaluation for home environment

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has Parkinson's and dementia.
Good Documentation Example
Patient with Parkinson's disease (G20) and dementia with behavioral disturbance (F02.81), MoCA score 18/30.
Explanation
The good example provides specific codes and clinical details.

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