ICD-10 Coding for Shaking(G25.0, G25.1, R25.1)
Complete ICD-10-CM coding and documentation guide for Shaking. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Shaking
G25.0-G25.9Primary Range
Other extrapyramidal and movement disorders
This range includes specific types of tremors such as essential tremor and drug-induced tremor.
Abnormal involuntary movements
This range includes 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 when essential tremor is confirmed by clinical criteria and family history. |
|
| G25.1 | Drug-induced tremor | Use when tremor is directly linked to medication use. |
|
| R25.1 | Tremor, unspecified | Use when the cause of tremor is not specified or determined. |
|
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 Shaking
Primary ICD-10-CM Codes for shaking
Decision Criteria
clinical Criteria
- Bilateral action tremor with family history
Applicable To
- Familial tremor
Excludes
- Parkinsonian tremor (G20)
Clinical Validation Requirements
- Bilateral action tremor
- Family history of tremor
- Improvement with propranolol
Code-Specific Risks
- Misclassification with Parkinsonian tremor
Coding Notes
- Ensure documentation includes family history and response to treatment.
G25.1 - Drug-induced tremor
Use when tremor is directly linked to medication use.
Excludes
- Tremor due to other causes
Clinical Validation Requirements
- Temporal relationship to medication
- Resolution upon discontinuation of drug
Coding Notes
Document the specific drug and its temporal relationship to the tremor.
R25.1 - Tremor, unspecified
Use when the cause of tremor is not specified or determined.
Excludes
- Essential tremor (G25.0)
Clinical Validation Requirements
- Undetermined etiology after basic workup
Coding Notes
Should be used temporarily until a specific diagnosis is made.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Parkinson's disease
G20Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Shaking to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G25.0.
Impact
Clinical: Inaccurate diagnosis and treatment plan., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Ensure thorough clinical evaluation, Document specific tremor characteristics
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use R25.1 for unspecified tremor if unilateral and essential tremor criteria are not met.
Impact
Frequent use of R25.1 without follow-up diagnosis.
Mitigation Strategy
Encourage specific diagnosis and referral to specialists.
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 Shaking, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Shaking
Use these documentation templates to ensure complete and accurate documentation for Shaking. These templates include all required elements for proper coding and billing.
Documenting Essential Tremor
Specialty: NeurologyRequired Elements
- Tremor characteristics
- Family history
- Response to treatment
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Shaking? Ask your questions below.