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ICD-10 Coding for Huntington's Chorea(G10, F02.81)

Complete ICD-10-CM coding and documentation guide for Huntington's Chorea. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Huntington's DiseaseHD

Related ICD-10 Code Ranges

Complete code families applicable to Huntington's Chorea

G10Primary Range

Huntington's Disease

This is the primary code for Huntington's Chorea, capturing the genetic disorder characterized by chorea and cognitive decline.

Dementia in other diseases classified elsewhere

Used for coding dementia associated with Huntington's Disease.

Other abnormal involuntary movements

Used for initial presentation of chorea before Huntington's Disease is confirmed.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
G10Huntington's DiseaseUse when there is a confirmed diagnosis of Huntington's Disease through genetic testing or clinical presentation.
  • Genetic confirmation with CAG repeat expansion of ≥36
  • Family history of Huntington's Disease
  • Progressive chorea and cognitive decline
F02.81Dementia in other diseases classified elsewhere with behavioral disturbanceUse as a secondary code when dementia with behavioral disturbance is present in Huntington's Disease.
  • Behavioral disturbances such as aggression or psychosis
  • Cognitive decline documented in clinical notes

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 Huntington's Chorea

Essential facts and insights about Huntington's Chorea

The ICD-10 code for Huntington's Chorea is G10, used for confirmed cases of Huntington's Disease.

Primary ICD-10-CM Codes for huntington's chorea

Huntington's Disease
Billable Code

Decision Criteria

clinical Criteria

  • Presence of progressive chorea and positive family history

coding Criteria

  • Genetic confirmation of CAG repeat expansion

Applicable To

  • Huntington's Chorea

Excludes

  • Benign hereditary chorea (G25.5)

Clinical Validation Requirements

  • Genetic confirmation with CAG repeat expansion of ≥36
  • Family history of Huntington's Disease
  • Progressive chorea and cognitive decline

Code-Specific Risks

  • Misclassification if genetic testing is not confirmed
  • Incorrect sequencing with dementia codes

Coding Notes

  • Ensure genetic testing results are documented to support the use of G10.

Ancillary Codes

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

Dementia with behavioral disturbance

F02.81
Use when dementia with behavioral disturbance is present in a patient with Huntington's Disease.

Differential Codes

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

Benign hereditary chorea

G25.5
Benign hereditary chorea does not progress to dementia and lacks the genetic marker of Huntington's.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Huntington's Chorea to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G10.

Impact

Clinical: Misdiagnosis or delayed diagnosis., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.

Mitigation Strategy

Ensure genetic test results are included in the patient's medical record., Regular audits of documentation practices.

Impact

Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate patient records and data reporting.

Mitigation Strategy

Always use G10 for active disease, not Z86.69.

Impact

Lack of genetic test documentation for Huntington's Disease coding.

Mitigation Strategy

Require genetic test results for all G10 claims.

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 Huntington's Chorea, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Huntington's Chorea

Use these documentation templates to ensure complete and accurate documentation for Huntington's Chorea. These templates include all required elements for proper coding and billing.

Patient with suspected Huntington's Disease

Specialty: Neurology

Required Elements

  • Family history of Huntington's Disease
  • Progressive chorea and cognitive decline
  • Genetic testing results

Example Documentation

Patient presents with progressive chorea and family history of Huntington's Disease. Genetic testing confirmed CAG repeat expansion of 42.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has movement disorder.
Good Documentation Example
Patient exhibits progressive, non-rhythmic chorea affecting face/limbs, worsening over 18 months.
Explanation
The good example provides specific symptoms and progression details necessary for accurate coding.

Need help with ICD-10 coding for Huntington's Chorea? Ask your questions below.

Ask about any ICD-10 CM code, or paste a medical note

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