ICD-10 Coding for Limited Mobility(Z74.09, R26.2)
Complete ICD-10-CM coding and documentation guide for Limited Mobility. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Limited Mobility
Z74.0-Z74.09Primary Range
Problems related to care provider dependency
This range includes codes for reduced mobility and bed confinement, which are primary for documenting limited mobility without a specific cause.
Abnormalities of gait and mobility
This range includes codes for specific gait abnormalities, such as difficulty walking, which may be used when the mobility issue is more specifically defined.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Z74.09 | Other reduced mobility | Use when reduced mobility is present without a specific underlying cause. |
|
| R26.2 | Difficulty in walking, not elsewhere classified | Use when the primary issue is difficulty walking, and it is not due to a specific condition. |
|
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 limited mobility
Essential facts and insights about Limited Mobility
Primary ICD-10-CM Codes for limited mobility
Decision Criteria
clinical Criteria
- Generalized mobility impairment without specific diagnosis
Applicable To
- Generalized reduced mobility
Excludes
- Z99.3 (Wheelchair dependence)
Clinical Validation Requirements
- Documentation of inability to perform ADLs without assistance
- Timed Up-and-Go test >20 seconds
Code-Specific Risks
- Risk of under-documenting specific causes, leading to incorrect coding.
Coding Notes
- Ensure documentation clearly indicates the lack of a specific underlying condition.
R26.2 - Difficulty in walking, not elsewhere classified
Use when the primary issue is difficulty walking, and it is not due to a specific condition.
Applicable To
- Gait abnormality
Excludes
- R26.81 (Unsteadiness on feet)
Clinical Validation Requirements
- Gait analysis showing asymmetrical step length
- Use of assistive device documented in EMR
Coding Notes
Ensure gait-specific documentation is present.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential 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 Limited Mobility to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z74.09.
Impact
Clinical: Inadequate care planning., Regulatory: Potential audit issues., Financial: Claim denials or reduced reimbursement.
Mitigation Strategy
Use specific language and standardized assessments., Regular training on documentation standards.
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Use Z99.3 for wheelchair dependence.
Impact
Failure to document specific mobility limitations can lead to audit findings.
Mitigation Strategy
Use detailed templates and standardized assessments.
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 Limited Mobility, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Limited Mobility
Use these documentation templates to ensure complete and accurate documentation for Limited Mobility. These templates include all required elements for proper coding and billing.
Post-Stroke Mobility Assessment
Specialty: Physical TherapyRequired Elements
- Functional Limitations
- Objective Findings
- Device Specifications
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Limited Mobility? Ask your questions below.