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ICD-10 Coding for Hand Tremor(G25.0, G25.1, R25.1)

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

Also known as:

Essential TremorParkinsonian TremorDrug-induced TremorUnspecified Tremor

Related ICD-10 Code Ranges

Complete code families applicable to Hand Tremor

G25.0-G25.9Primary Range

Other extrapyramidal and movement disorders

This range includes codes for various types of tremors, including essential, drug-induced, and unspecified tremors.

Abnormal involuntary movements

This range includes codes for unspecified tremors when the cause is not determined.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
G25.0Essential tremorUse when essential tremor is confirmed by clinical evaluation.
  • Bilateral postural/kinetic hand tremor
  • Absence of rest tremor
  • Family history of tremor
G25.1Drug-induced tremorUse when tremor is linked to medication use.
  • Temporal relationship with medication initiation
  • Naranjo score ≥4
R25.1Tremor, unspecifiedUse when the cause of tremor is unknown.
  • Tremor without further characterization

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 Hand Tremor

The ICD-10 code for essential tremor is G25.0, used for bilateral postural or kinetic tremors.

Primary ICD-10-CM Codes for hand tremor

Essential tremor
Billable Code

Decision Criteria

clinical Criteria

  • Bilateral postural/kinetic tremor with no rest tremor

Applicable To

  • Bilateral postural tremor
  • Kinetic tremor

Excludes

  • Parkinsonian tremor
  • Drug-induced tremor

Clinical Validation Requirements

  • Bilateral postural/kinetic hand tremor
  • Absence of rest tremor
  • Family history of tremor

Code-Specific Risks

  • Misclassification as Parkinsonian tremor

Coding Notes

  • Ensure documentation specifies the type of tremor and absence of Parkinsonian features.

Ancillary Codes

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

Adverse effects of drugs

T36-T50
Use to specify the drug causing the tremor.

Differential Codes

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

Parkinson's disease

G20
Presence of rest tremor and bradykinesia.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Hand 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., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.

Mitigation Strategy

Use specific language to describe tremor, Include all relevant clinical findings

Impact

Reimbursement: Incorrect coding can lead to lower reimbursement., Compliance: May trigger audits due to improper coding., Data Quality: Affects accuracy of clinical data.

Mitigation Strategy

Use G25.0 if postural/kinetic tremor is confirmed.

Impact

Reimbursement: May result in denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate representation of drug effects.

Mitigation Strategy

Document Naranjo score and temporal relationship.

Impact

Inadequate documentation of tremor type and context.

Mitigation Strategy

Use structured templates to ensure comprehensive documentation.

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

Documentation Templates for Hand Tremor

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

Documenting Essential Tremor

Specialty: Neurology

Required Elements

  • Tremor type and frequency
  • Family history
  • TETRAS score

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has shaky hands.
Good Documentation Example
Patient exhibits 6-8 Hz bilateral postural hand tremor during sustained arm extension.
Explanation
The good example specifies tremor type and frequency, aiding accurate coding.

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

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