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ICD-10 Coding for Extrapyramidal Syndromes(G25.1, G25.9)

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

Also known as:

EPSExtrapyramidal Symptoms

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Related ICD-10 Code Ranges

Complete code families applicable to Extrapyramidal Syndromes

G20-G26Primary Range

Extrapyramidal and movement disorders

This range includes all extrapyramidal and movement disorders, covering conditions such as Parkinson's disease, drug-induced movement disorders, and other specified and unspecified extrapyramidal and movement disorders.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
G25.1Drug-induced parkinsonismUse when parkinsonian symptoms develop after drug exposure, particularly antipsychotics.
  • Recent antipsychotic use
  • Resting tremor
  • Positive response to anticholinergic challenge
G25.9Extrapyramidal and movement disorder, unspecifiedUse as a last resort when specific type of EPS cannot be determined.
  • Ambiguous documentation without specific symptoms

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 drug-induced parkinsonism

Essential facts and insights about Extrapyramidal Syndromes

The ICD-10 code for drug-induced parkinsonism is G25.1, used for symptoms post-drug exposure.

Primary ICD-10-CM Codes for extrapyramidal syndromes

G25.1
Drug-induced parkinsonism
Billable Code

Decision Criteria

clinical Criteria

  • Presence of parkinsonian symptoms post-drug exposure

Applicable To

  • Parkinsonism due to drugs

Excludes

  • Parkinson's disease (G20)

Clinical Validation Requirements

  • Recent antipsychotic use
  • Resting tremor
  • Positive response to anticholinergic challenge

Code-Specific Risks

  • Misclassification if not confirmed by clinical validation

Coding Notes

  • Ensure documentation specifies drug relationship and symptom onset timing.
View Full Code Details

Ancillary Codes

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

Adverse effect of butyrophenones

T43.4X5A
Use when parkinsonism is due to butyrophenone class drugs like haloperidol.

Differential Codes

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

Parkinson's disease

G20
Idiopathic onset without recent drug exposure.

Drug-induced parkinsonism

G25.1
Requires specific drug-induced parkinsonian symptoms.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Extrapyramidal Syndromes to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G25.1.

Impact

Clinical: Misleading clinical picture affecting treatment decisions., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials or reduced reimbursement.

Mitigation Strategy

Always document drug exposure and symptom onset., Use templates to ensure completeness.

Impact

Reimbursement: Potential denial or reduced reimbursement due to lack of specificity., Compliance: Increased risk of non-compliance with coding guidelines., Data Quality: Poor data quality affecting clinical decision-making.

Mitigation Strategy

Ensure detailed documentation of symptoms and drug history.

Impact

High risk of audit due to lack of specificity in coding.

Mitigation Strategy

Ensure detailed documentation and use specific codes where possible.

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

Documentation Templates for Extrapyramidal Syndromes

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

Psychiatric evaluation for drug-induced movement disorder

Specialty: Psychiatry

Required Elements

  • EPS onset timing
  • Type of movement disorder
  • Drug exposure history
  • Response to treatment

Example Documentation

Patient developed parkinsonian symptoms 2 weeks after starting risperidone. Symptoms include resting tremor and bradykinesia.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has movement disorder from medication.
Good Documentation Example
Patient presents with 4Hz pill-rolling tremor at rest, cogwheel rigidity, and bradykinesia developing 7 days post-olanzapine initiation.
Explanation
The good example provides specific symptoms, timing, and drug relationship, facilitating accurate coding.

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

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