ICD-10 Coding for Myoclonus(G25.3)
Complete ICD-10-CM coding and documentation guide for Myoclonus. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Myoclonus
Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances
Used for drug-induced myoclonus as an additional code.
Key Information: ICD-10 code for myoclonus
Essential facts and insights about Myoclonus
Primary ICD-10-CM Code for myoclonus
Decision Criteria
clinical Criteria
- EMG confirms myoclonus with burst duration <100ms
documentation Criteria
- Explicit mention of 'myoclonus' in clinical notes
Applicable To
- Non-epileptic myoclonus
Excludes
- Myoclonic epilepsy (G40.-)
Clinical Validation Requirements
- EMG showing burst duration <100ms
- EEG without epileptiform discharges
Code-Specific Risks
- Confusion with myoclonic epilepsy
- Omission of additional codes for drug-induced cases
Coding Notes
- Ensure documentation specifies non-epileptic nature and any drug involvement.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Adverse effect of other antidepressants
T43.595Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Generalized idiopathic epilepsy and epileptic syndromes
G40.3Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Myoclonus to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G25.3.
Impact
Clinical: Leads to vague clinical records., Regulatory: May trigger audits for lack of specificity., Financial: Potential for reduced reimbursement due to lack of specificity.
Mitigation Strategy
Always review clinical documentation for specificity., Consult ICD-10 guidelines for precise coding.
Impact
Reimbursement: Incorrect coding may lead to improper DRG assignment., Compliance: May result in audit flags for incorrect coding., Data Quality: Affects accuracy of clinical data and patient records.
Mitigation Strategy
Verify EEG results to confirm absence of epileptiform discharges.
Impact
Using G25.3 instead of G40.- for epileptic myoclonus.
Mitigation Strategy
Verify EEG results and document findings clearly.
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 Myoclonus, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Myoclonus
Use these documentation templates to ensure complete and accurate documentation for Myoclonus. These templates include all required elements for proper coding and billing.
Non-epileptic myoclonus in a neurology clinic
Specialty: NeurologyRequired Elements
- Movement description
- Provoking factors
- Neurophysiology results
- Etiology
- Treatment impact
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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