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ICD-10 Coding for Movement Disorder(G20, G25.9)

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

Also known as:

Extrapyramidal DisorderMotor Disorder

Related ICD-10 Code Ranges

Complete code families applicable to Movement Disorder

G20-G26Primary Range

Extrapyramidal and movement disorders

This range includes codes for Parkinson's disease, 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
G20Parkinson's diseaseUse for idiopathic Parkinson's disease, even with motor complications.
  • Clinical diagnosis based on motor symptoms such as bradykinesia, resting tremor, and rigidity.
  • DaTscan showing reduced dopamine uptake.
G25.9Unspecified extrapyramidal and movement disorderUse only when specific type of movement disorder is not documented.
  • Lack of specific diagnosis or documentation.

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 Parkinson's disease

Essential facts and insights about Movement Disorder

The ICD-10 code for Parkinson's disease is G20, used for idiopathic cases with motor complications.

Primary ICD-10-CM Codes for movement disorder

Parkinson's disease
Non-billable Code

Decision Criteria

clinical Criteria

  • Presence of bradykinesia and at least one other symptom (tremor or rigidity).

Applicable To

  • Idiopathic Parkinson's disease

Excludes

  • Secondary Parkinsonism (G21.-)

Clinical Validation Requirements

  • Clinical diagnosis based on motor symptoms such as bradykinesia, resting tremor, and rigidity.
  • DaTscan showing reduced dopamine uptake.

Code-Specific Risks

  • Ensure documentation of at least two cardinal symptoms for accurate coding.

Coding Notes

  • Document motor fluctuations and dyskinesia for future coding updates.

Ancillary Codes

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

Dementia in other diseases classified elsewhere without behavioral disturbance

F02.80
Use as a secondary code to indicate dementia in Parkinson's disease.

Differential Codes

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

Secondary Parkinsonism

G21
Secondary to another condition or drug-induced.

Drug-induced subacute dyskinesia

G24.01
Documented history of drug use causing dyskinesia.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Movement Disorder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G20.

Impact

Clinical: May lead to inappropriate treatment plans., Regulatory: Increases risk of audit failures., Financial: Potential for reduced reimbursement.

Mitigation Strategy

Use structured templates for documentation., Regular training on coding updates.

Impact

Reimbursement: May result in lower reimbursement rates., Compliance: Increases risk of audit and non-compliance., Data Quality: Reduces accuracy of health data.

Mitigation Strategy

Ensure detailed documentation to use specific codes.

Impact

Frequent use of unspecified codes can trigger audits.

Mitigation Strategy

Ensure detailed documentation and use of specific codes.

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

Documentation Templates for Movement Disorder

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

Parkinson's Disease with Motor Fluctuations

Specialty: Neurology

Required Elements

  • Patient history
  • Motor symptoms
  • Response to medication

Example Documentation

72M with 8-year history of PD presents with predictable ‘OFF’ episodes and peak-dose dyskinesia.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has tremors.
Good Documentation Example
Patient exhibits resting tremor (3-5 Hz) in bilateral hands, improved with levodopa.
Explanation
The good example provides specific details about the tremor and its response to treatment.

Need help with ICD-10 coding for Movement Disorder? Ask your questions below.

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