ICD-10 Coding for Essential Tremor(G25.0, G25.1)
Complete ICD-10-CM coding and documentation guide for Essential Tremor. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Essential Tremor
G25.0-G25.9Primary Range
Other Extrapyramidal and Movement Disorders
This range includes codes for various movement disorders, with G25.0 specifically for essential tremor.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| G25.0 | Essential Tremor | Use when essential tremor is confirmed by clinical criteria, including family history and response to treatment. |
|
| G25.1 | Drug-induced tremor | Use when tremor is directly linked to medication use. |
|
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 essential tremor
Essential facts and insights about Essential Tremor
Primary ICD-10-CM Codes for essential tremor
Decision Criteria
clinical Criteria
- Presence of bilateral action tremor and family history
documentation Criteria
- Detailed description of tremor characteristics and response to treatment
Applicable To
- Familial tremor
- Benign essential tremor
Clinical Validation Requirements
- Bilateral action tremor
- Family history of tremor
- Response to propranolol or alcohol
- Absence of Parkinsonian symptoms
Code-Specific Risks
- Confusion with Parkinson's disease
- Misclassification as drug-induced tremor
Coding Notes
- Ensure documentation includes specific clinical findings to support the use of G25.0.
G25.1 - Drug-induced tremor
Use when tremor is directly linked to medication use.
Excludes
- Essential tremor (G25.0)
Clinical Validation Requirements
- Tremor onset after starting medication
- Improvement upon discontinuation of the drug
Coding Notes
Ensure the specific drug causing the tremor is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Tremor, unspecified
R25.1Differential 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 Essential Tremor to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G25.0.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims due to insufficient documentation.
Mitigation Strategy
Use standardized scales for tremor assessment, Include detailed family and treatment history
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use R25.1 until bilateral involvement is confirmed.
Impact
Inadequate documentation may lead to audit findings.
Mitigation Strategy
Ensure detailed documentation of tremor characteristics and family history.
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 Essential Tremor, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Essential Tremor
Use these documentation templates to ensure complete and accurate documentation for Essential Tremor. These templates include all required elements for proper coding and billing.
Neurology Clinic Note
Specialty: NeurologyRequired Elements
- History of tremor
- Family history
- Response to treatment
- Tremor characteristics
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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