ICD-10 Coding for Reduced Mobility(R26.2, Z74.09)
Complete ICD-10-CM coding and documentation guide for Reduced Mobility. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Reduced Mobility
Persons with potential health hazards related to family and personal history and certain conditions influencing health status
Includes codes for reduced mobility due to various non-specific conditions.
R26-R29Primary Range
Symptoms and signs involving the nervous and musculoskeletal systems
Primary range for symptoms like difficulty walking and gait abnormalities.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| R26.2 | Difficulty in walking, not elsewhere classified | Use when difficulty walking is the primary symptom without a specific underlying condition. |
|
| Z74.09 | Other reduced mobility | Use when reduced mobility is due to non-specific causes and no primary condition is documented. |
|
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 reduced mobility
Essential facts and insights about Reduced Mobility
Primary ICD-10-CM Codes for reduced mobility
Decision Criteria
clinical Criteria
- Presence of difficulty walking without a specific underlying condition.
Clinical Validation Requirements
- Timed Up & Go test >30 seconds
- 10-meter walk test with >20% asymmetry
Code-Specific Risks
- Lack of quantifiable performance measures
Coding Notes
- Ensure documentation includes specific tests and observed gait patterns.
Z74.09 - Other reduced mobility
Use when reduced mobility is due to non-specific causes and no primary condition is documented.
Applicable To
- Inability to transfer independently
- Reliance on caregivers
Excludes
- Paralytic conditions (G81.0-G81.9)
Clinical Validation Requirements
- Katz ADL score ≤4
- Caregiver dependency logs
Coding Notes
Document the level of assistance required and any assistive devices used.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Other reduced mobility
Z74.09Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Reduced Mobility to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R26.2.
Impact
Clinical: Leads to inadequate treatment planning., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Use specific language in documentation, Include objective measurements
Impact
Reimbursement: May lead to denied claims due to lack of specificity., Compliance: Non-compliance with coding guidelines for specificity., Data Quality: Reduces accuracy of patient records.
Mitigation Strategy
Use Z74.09 for billable reduced mobility without specific etiology.
Impact
Risk of audits due to non-specific coding of mobility issues.
Mitigation Strategy
Use specific codes and document clinical findings in detail.
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 Reduced Mobility, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Reduced Mobility
Use these documentation templates to ensure complete and accurate documentation for Reduced Mobility. These templates include all required elements for proper coding and billing.
Patient with reduced mobility due to muscle weakness
Specialty: Physical TherapyRequired Elements
- Functional Reach Test
- 5x Sit-to-Stand
- Observed Gait Pattern
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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