ICD-10 Coding for Non-Ambulatory Status(Z74.09, G82.21)
Complete ICD-10-CM coding and documentation guide for Non-Ambulatory Status. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Non-Ambulatory Status
Z74.0-Z74.09Primary Range
Problems related to care provider dependency
Includes codes for reduced mobility, which encompasses non-ambulatory status.
Paralytic syndromes
Includes codes for conditions like paraplegia that may result in non-ambulatory status.
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 for chronic or progressive conditions resulting in non-ambulatory status. |
|
| G82.21 | Paraplegia, complete | Use for complete paraplegia resulting in non-ambulatory status. |
|
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 non-ambulatory status
Essential facts and insights about Non-Ambulatory Status
Primary ICD-10-CM Codes for non ambulatory
Decision Criteria
clinical Criteria
- Chronic inability to walk confirmed by clinical assessment
coding Criteria
- Link to an underlying condition code
Applicable To
- Chronic inability to walk
Excludes
- Acute trauma-related mobility issues
Clinical Validation Requirements
- Documented inability to walk for more than 30 days
- Clinical assessment confirming chronic mobility limitation
Code-Specific Risks
- Risk of using without linking to an underlying condition
Coding Notes
- Ensure the underlying cause of non-ambulatory status is documented and coded.
G82.21 - Paraplegia, complete
Use for complete paraplegia resulting in non-ambulatory status.
Applicable To
- Complete loss of motor function in lower limbs
Excludes
- Partial paralysis
Clinical Validation Requirements
- ASIA Impairment Scale A
- Imaging confirming complete spinal lesion
Coding Notes
Ensure complete loss of motor function is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Dependence on wheelchair
Z99.3Differential 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 Non-Ambulatory Status to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z74.09.
Impact
Clinical: Leads to misinterpretation of patient condition., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims or reduced reimbursement.
Mitigation Strategy
Use specific language linking mobility status to clinical findings., Ensure documentation includes duration and cause of non-ambulatory status.
Impact
Reimbursement: May lead to incorrect DRG assignment and reimbursement issues., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Leads to inaccurate clinical data representation.
Mitigation Strategy
Always link Z74.09 to an underlying condition code.
Impact
High risk of audit if Z74.09 is used without an underlying condition code.
Mitigation Strategy
Always document and code the primary condition causing non-ambulatory status.
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 Non-Ambulatory Status, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Non-Ambulatory Status
Use these documentation templates to ensure complete and accurate documentation for Non-Ambulatory Status. These templates include all required elements for proper coding and billing.
Patient with ALS leading to non-ambulatory status
Specialty: NeurologyRequired Elements
- Diagnosis of ALS
- Clinical evidence of non-ambulatory status
- Functional assessment results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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