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ICD-10 Coding for Huntington's Disease(G10)

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

Also known as:

Huntington's ChoreaHD

Related ICD-10 Code Ranges

Complete code families applicable to Huntington's Disease

G10Primary Range

Huntington's Disease

Primary code for Huntington's Disease, used for all cases regardless of age of onset.

Dementia in other diseases classified elsewhere

Used for dementia manifestations associated with Huntington's Disease.

Abnormal involuntary movements

Used for chorea and other movement disorders associated with Huntington's Disease.

Key Information: ICD-10 code for Huntington's Disease

Essential facts and insights about Huntington's Disease

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

Primary ICD-10-CM Code for huntington's disease

Huntington's Disease
Billable Code

Decision Criteria

clinical Criteria

  • Presence of CAG repeat expansion in HTT gene.

coding Criteria

  • Manifestations such as dementia or chorea should be coded with additional codes.

Applicable To

  • Huntington's Chorea

Excludes

  • Z86.69 (Personal history of nervous system disease)

Clinical Validation Requirements

  • CAG repeat count ≥40 in HTT gene
  • Caudate atrophy on MRI
  • Family history + motor/cognitive decline

Code-Specific Risks

  • Coding Z86.69 for active disease
  • Sequencing errors with dementia codes

Coding Notes

  • Always sequence G10 first, followed by manifestation codes.

Ancillary Codes

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

Dementia with psychotic disturbance

F02.B1
Use when dementia with psychotic features is present.

Other chorea

R25.8
Use for chorea associated with Huntington's Disease.

Differential Codes

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

Friedreich ataxia

G11.11
Genetic testing to confirm absence of HD mutations.

Neurodegeneration with brain iron accumulation

G23.1
MRI and genetic testing to differentiate from HD.

Documentation & Coding Risks

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

Impact

Clinical: May lead to misdiagnosis or incorrect treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials due to insufficient documentation.

Mitigation Strategy

Ensure genetic test results are included in all relevant documentation., Use templates to guide comprehensive documentation.

Impact

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

Mitigation Strategy

Use G10 for active cases regardless of duration.

Impact

Lack of genetic testing documentation can lead to audit flags.

Mitigation Strategy

Ensure all genetic testing results are documented and easily accessible.

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

Documentation Templates for Huntington's Disease

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

Patient with Huntington's Disease and dementia

Specialty: Neurology

Required Elements

  • Motor symptoms
  • Cognitive decline
  • Genetic test results

Example Documentation

Patient exhibits progressive choreiform movements, dysphagia, and cognitive decline. Genetic testing confirms HD with 43 CAG repeats.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has Huntington's.
Good Documentation Example
Huntington's disease confirmed by genetic testing: 43 CAG repeats in HTT gene.
Explanation
The good example provides specific genetic confirmation, which is necessary for accurate coding.

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

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

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