ICD-10 Coding for Decreased Mobility(Z74.09, R26.89)
Complete ICD-10-CM coding and documentation guide for Decreased Mobility. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Decreased Mobility
Z74-Z75Primary Range
Problems related to care provider dependency
This range includes codes for conditions affecting mobility due to care dependency, such as Z74.09 for other reduced mobility.
Abnormalities of gait and mobility
This range includes codes for specific gait abnormalities, such as R26.89 for other abnormalities of gait and mobility.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Z74.09 | Other reduced mobility | Use when reduced mobility is due to non-disease causes such as deconditioning. |
|
| R26.89 | Other abnormalities of gait and mobility | Use for gait abnormalities not specified elsewhere, especially when related to neurological conditions. |
|
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 decreased mobility
Essential facts and insights about Decreased Mobility
Primary ICD-10-CM Codes for decreased mobility
Decision Criteria
clinical Criteria
- Patient requires assistive devices for mobility
documentation Criteria
- Detailed functional assessment is provided
Applicable To
- Dependence on wheelchair
- Confined to bed or chair
Excludes
- Gait abnormalities (R26.-)
Clinical Validation Requirements
- Documentation of assistive device use
- Functional assessment scores
Code-Specific Risks
- Incorrectly used as a primary diagnosis
Coding Notes
- Ensure documentation specifies the cause of reduced mobility to avoid incorrect primary diagnosis coding.
R26.89 - Other abnormalities of gait and mobility
Use for gait abnormalities not specified elsewhere, especially when related to neurological conditions.
Applicable To
- Ataxia
- Unsteady gait
Excludes
- Reduced mobility due to care dependency (Z74.09)
Clinical Validation Requirements
- Gait analysis results
- Neurological examination findings
Coding Notes
Ensure gait abnormalities are well-documented and linked to the appropriate underlying condition.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Decreased Mobility to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z74.09.
Impact
Clinical: May lead to inadequate care planning., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials.
Mitigation Strategy
Use standardized assessment tools., Document specific functional limitations.
Impact
Reimbursement: May lead to incorrect DRG assignment and reimbursement issues., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on patient mobility status.
Mitigation Strategy
Specify 'other reduced mobility' with device dependence details.
Impact
Using Z74.09 as a primary diagnosis can lead to audit flags.
Mitigation Strategy
Always use Z74.09 as a secondary diagnosis.
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 Decreased Mobility, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Decreased Mobility
Use these documentation templates to ensure complete and accurate documentation for Decreased Mobility. These templates include all required elements for proper coding and billing.
Patient with reduced mobility post-stroke
Specialty: NeurologyRequired Elements
- Functional assessment
- Assistive device use
- Mobility limitations
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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