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ICD-10 Coding for Progressive Supranuclear Palsy(G23.1)

Complete ICD-10-CM coding and documentation guide for Progressive Supranuclear Palsy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

PSPSteele-Richardson-Olszewski syndrome

Related ICD-10 Code Ranges

Complete code families applicable to Progressive Supranuclear Palsy

G20-G26Primary Range

Extrapyramidal and movement disorders

This range includes codes for various movement disorders, including PSP, which is coded under G23.1.

Key Information: ICD-10 code for progressive supranuclear palsy

Essential facts and insights about Progressive Supranuclear Palsy

The ICD-10 code for progressive supranuclear palsy is G23.1, used for documenting cases with supranuclear gaze palsy and postural instability.

Primary ICD-10-CM Code for progressive supranuclear palsy

Progressive supranuclear ophthalmoplegia [Steele-Richardson-Olszewski]
Billable Code

Decision Criteria

clinical Criteria

  • Presence of vertical gaze palsy and postural instability

coding Criteria

  • Sequence G23.1 before dementia codes

documentation Criteria

  • MRI confirmation of midbrain atrophy

Applicable To

  • Supranuclear gaze palsy
  • Postural instability
  • Axial rigidity

Excludes

  • G12.2 (Motor neuron disease)
  • G20 (Parkinson's disease)

Clinical Validation Requirements

  • Documentation of supranuclear gaze palsy
  • MRI findings of midbrain atrophy
  • Postural instability with early falls

Code-Specific Risks

  • Misclassification with Parkinson's disease
  • Incorrect use on death certificates

Coding Notes

  • Ensure documentation specifies supranuclear gaze palsy and postural instability to differentiate from Parkinson's.

Ancillary Codes

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

Difficulty in walking, not elsewhere classified

R26.2
Use for gait abnormalities associated with PSP.

Dysphagia

R13.1
Use for swallowing difficulties in PSP patients.

Dementia in other diseases classified elsewhere without behavioral disturbance

F02.80
Use when dementia is present due to PSP.

Differential Codes

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

Parkinson's disease

G20
Presence of resting tremor and asymmetric onset, unlike PSP.

Motor neuron disease

G12.2
Presence of lower motor neuron signs, absent in PSP.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Progressive Supranuclear Palsy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G23.1.

Impact

Clinical: Misrepresents the patient's condition., Regulatory: Non-compliance with ICD-10 guidelines., Financial: Potential for incorrect billing and reimbursement.

Mitigation Strategy

Verify clinical criteria for PSP., Cross-check with diagnostic imaging.

Impact

Reimbursement: Incorrect coding may lead to lower reimbursement rates., Compliance: Misclassification affects compliance with coding standards., Data Quality: Impacts the accuracy of health data records.

Mitigation Strategy

Ensure documentation highlights vertical gaze palsy and early falls.

Impact

Failure to sequence G23.1 before dementia codes.

Mitigation Strategy

Educate coders on sequencing rules.

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 Progressive Supranuclear Palsy, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Progressive Supranuclear Palsy

Use these documentation templates to ensure complete and accurate documentation for Progressive Supranuclear Palsy. These templates include all required elements for proper coding and billing.

Neurology Evaluation for PSP

Specialty: Neurology

Required Elements

  • History of falls and gaze palsy
  • MRI findings
  • Response to levodopa

Example Documentation

Patient presents with vertical gaze palsy and recurrent falls. MRI shows midbrain atrophy.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has gait difficulty.
Good Documentation Example
Patient experiences recurrent backward falls due to postural instability with impaired downgaze.
Explanation
The good example provides specific symptoms and their impact, aiding accurate coding.

Need help with ICD-10 coding for Progressive Supranuclear Palsy? Ask your questions below.

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