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ICD-10 Coding for Parkinson's Disease Unspecified(G20.C)

Complete ICD-10-CM coding and documentation guide for Parkinson's Disease Unspecified. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Idiopathic Parkinson's DiseasePrimary Parkinsonism

Related ICD-10 Code Ranges

Complete code families applicable to Parkinson's Disease Unspecified

G20Primary Range

Parkinson's Disease

This range includes codes for Parkinson's disease and its subtypes, requiring specificity in documentation.

Secondary Parkinsonism

This range covers Parkinsonism due to other causes, such as drugs or toxins, and is used when Parkinsonism is secondary to another condition.

Key Information: ICD-10 code for unspecified Parkinson's disease

Essential facts and insights about Parkinson's Disease Unspecified

The ICD-10 code for unspecified Parkinsonism is G20.C, used when documentation lacks detail on dyskinesia or fluctuations.

Primary ICD-10-CM Code for parkinson's disease unspecified

Parkinsonism, unspecified
Billable Code

Decision Criteria

clinical Criteria

  • Presence of bradykinesia and at least one other motor symptom

documentation Criteria

  • Lack of detail on dyskinesia or fluctuations

Applicable To

  • Parkinsonism of unknown origin

Excludes

  • Secondary Parkinsonism (G21.9)

Clinical Validation Requirements

  • Bradykinesia and at least one of: resting tremor, rigidity, postural instability
  • Exclusion of secondary causes such as neuroleptic use

Code-Specific Risks

  • Confusion with Parkinson's disease codes
  • Use of obsolete codes

Coding Notes

  • Ensure documentation specifies whether Parkinsonism is primary or secondary.

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 to code dementia associated with Parkinsonism.

Differential Codes

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

Secondary Parkinsonism, unspecified

G21.9
Use when Parkinsonism is due to an identifiable external cause.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Parkinson's Disease Unspecified to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G20.C.

Impact

Clinical: Leads to incomplete clinical picture., Regulatory: Non-compliance with ICD-10 coding standards., Financial: Potential for denied claims and revenue loss.

Mitigation Strategy

Use structured templates for documentation, Educate providers on the importance of detailed documentation

Impact

Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with updated ICD-10 guidelines., Data Quality: Inaccurate clinical data affecting patient records.

Mitigation Strategy

Query provider for clarification on dyskinesia and fluctuations.

Impact

High risk of audit if unspecified codes are used without proper documentation.

Mitigation Strategy

Implement structured documentation templates and regular provider education.

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 Parkinson's Disease Unspecified, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Parkinson's Disease Unspecified

Use these documentation templates to ensure complete and accurate documentation for Parkinson's Disease Unspecified. These templates include all required elements for proper coding and billing.

Neurology Progress Note

Specialty: Neurology

Required Elements

  • Motor symptoms assessment
  • Non-motor symptoms documentation
  • Treatment response evaluation

Example Documentation

**Motor Exam:** - Bradykinesia: Moderate (Tapping speed: 5/10 sec) - Tremor: Resting (UPDRS Part III Score: 15) - Rigidity: Cogwheeling (Modified Ashworth Scale: 2) **Non-Motor Features:** - Cognitive: MoCA Score 25/30 - Autonomic: Orthostatic ΔBP >20mmHg **Treatment Response:** - Levodopa Challenge Test: 70% improvement in motor symptoms - Current OFF Time: 2 hours/day **Dyskinesia/Fluctuations:** [ ] Presence documented [ ] Absence documented [ ] Not assessed

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has Parkinson's.
Good Documentation Example
63M with 5-year history of idiopathic Parkinson's disease, presenting with bradykinesia (UPDRS-III score 28), pill-rolling tremor, and rigidity. No dyskinesias or motor fluctuations observed. DaTscan shows reduced bilateral putaminal uptake.
Explanation
The good example provides specific clinical details and excludes secondary causes, supporting accurate coding.

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