ICD-10 Coding for Shakiness(G25.0, R25.1, G25.1)
Complete ICD-10-CM coding and documentation guide for Shakiness. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Shakiness
G25.0-G25.9Primary Range
Other extrapyramidal and movement disorders
This range includes codes for various types of tremors, including essential tremor and drug-induced tremor.
Abnormal involuntary movements
This range includes codes for unspecified tremors and other abnormal involuntary movements.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| G25.0 | Essential tremor | Use for bilateral action tremors with a family history and no Parkinsonian features. |
|
| R25.1 | Tremor, unspecified | Use when tremor type is not specified or confirmed. |
|
| G25.1 | Drug-induced tremor | Use when tremor is linked to medication use. |
|
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 essential tremor
Essential facts and insights about Shakiness
Primary ICD-10-CM Codes for shakiness
Decision Criteria
clinical Criteria
- Bilateral action tremor with family history
documentation Criteria
- Document absence of resting tremor and Parkinsonian signs
Applicable To
- Bilateral action tremor
- Familial tremor
Excludes
- Parkinsonian tremor
- Drug-induced tremor
Clinical Validation Requirements
- Absence of Parkinsonian signs
- Positive family history
- Improvement with alcohol
Code-Specific Risks
- Misclassification as Parkinson's disease
- Inadequate documentation of family history
Coding Notes
- Ensure documentation specifies the absence of Parkinsonian symptoms.
R25.1 - Tremor, unspecified
Use when tremor type is not specified or confirmed.
Applicable To
- Tremor not otherwise specified
Excludes
- Essential tremor
- Drug-induced tremor
Clinical Validation Requirements
- Lack of specific etiology after workup
- Normal neurological exam
Coding Notes
Ensure thorough documentation of workup and lack of specific findings.
G25.1 - Drug-induced tremor
Use when tremor is linked to medication use.
Applicable To
- Tremor due to medication
Excludes
- Essential tremor
- Parkinsonian tremor
Clinical Validation Requirements
- Temporal relationship with medication
- Resolution upon drug cessation
Coding Notes
Document the specific medication and its temporal relationship to the tremor.
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 Shakiness to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G25.0.
Impact
Clinical: Leads to inappropriate treatment, Regulatory: Non-compliance with coding standards, Financial: Potential for denied claims
Mitigation Strategy
Ensure thorough clinical evaluation, Document specific tremor characteristics
Impact
Reimbursement: May lead to incorrect DRG assignment, Compliance: Potential for audit due to lack of specificity, Data Quality: Impacts accuracy of clinical data
Mitigation Strategy
Use specific codes like G25.0 for essential tremor when criteria are met.
Impact
Reimbursement: Incorrect coding may affect billing, Compliance: Non-compliance with coding guidelines, Data Quality: Misrepresents clinical condition
Mitigation Strategy
Document presence of delirium for DTs, otherwise use R25.1.
Impact
Using unspecified codes when specific types are documented.
Mitigation Strategy
Regular training on tremor coding guidelines.
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 Shakiness, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Shakiness
Use these documentation templates to ensure complete and accurate documentation for Shakiness. These templates include all required elements for proper coding and billing.
Essential Tremor Diagnosis
Specialty: NeurologyRequired Elements
- Patient history
- Family history
- Clinical examination
- Response to treatment
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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