ICD-10 Coding for Neurological Disorder(G81.91, G20)
Complete ICD-10-CM coding and documentation guide for Neurological Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Neurological Disorder
G00-G99Primary Range
Diseases of the nervous system
This range includes all ICD-10 codes related to neurological disorders, covering a wide spectrum of conditions affecting the central and peripheral nervous systems.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| G81.91 | Right dominant hemiplegia | Use when a patient has right-sided hemiplegia and is right-handed. |
|
| G20 | Parkinson's disease | Use for primary diagnosis of Parkinson's disease. |
|
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 right dominant hemiplegia
Essential facts and insights about Neurological Disorder
Primary ICD-10-CM Codes for neurological disorder
Decision Criteria
clinical Criteria
- Right-sided paralysis in a right-handed patient
Applicable To
- Paralysis of right dominant side
Excludes
- Non-dominant hemiplegia
Clinical Validation Requirements
- Documented cerebral thrombosis
- Confirmed right-handedness
Code-Specific Risks
- Incorrectly coding non-dominant side
Coding Notes
- Ensure documentation specifies dominance and underlying condition.
G20 - Parkinson's disease
Use for primary diagnosis of Parkinson's disease.
Applicable To
- Idiopathic Parkinsonism
Excludes
- Secondary Parkinsonism
Clinical Validation Requirements
- Diagnosis confirmed by DaTSCAN
- Presence of bradykinesia and tremor
Coding Notes
Ensure documentation includes diagnostic imaging and symptomatology.
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 Neurological Disorder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G81.91.
Impact
Clinical: Leads to incomplete clinical picture., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials.
Mitigation Strategy
Always code underlying condition first., Review coding guidelines regularly.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Always document the patient's handedness and affected side.
Impact
Audits often find missing documentation on dominance.
Mitigation Strategy
Implement mandatory fields in EHR for dominance documentation.
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 Neurological Disorder, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Neurological Disorder
Use these documentation templates to ensure complete and accurate documentation for Neurological Disorder. These templates include all required elements for proper coding and billing.
Parkinson's disease with dementia
Specialty: NeurologyRequired Elements
- Cognitive assessment
- Motor function evaluation
- Imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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