ICD-10 Coding for Shaky(G25.0, G25.1, R25.1)
Complete ICD-10-CM coding and documentation guide for Shaky. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Shaky
G25.0-G25.9Primary Range
Other extrapyramidal and movement disorders
This range includes specific types of tremors such as essential tremor, drug-induced tremor, and other specified tremors.
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 documentation specifies essential tremor with characteristic clinical findings. |
|
| G25.1 | Drug-induced tremor | Use when tremor is directly linked to medication use. |
|
| R25.1 | Tremor, unspecified | Use when documentation does not specify the type of tremor. |
|
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 Shaky
Primary ICD-10-CM Codes for shaky
Decision Criteria
clinical Criteria
- Presence of bilateral action tremor without other neurological signs
Applicable To
- Bilateral upper limb action tremor
Excludes
- Parkinson's disease (G20)
Clinical Validation Requirements
- Bilateral action tremor
- Absence of other neurological signs
- Family history of tremor
Code-Specific Risks
- Misclassification if not all criteria are met
Coding Notes
- Ensure documentation specifies essential tremor characteristics to avoid defaulting to unspecified tremor.
G25.1 - Drug-induced tremor
Use when tremor is directly linked to medication use.
Applicable To
- Tremor due to medication
Excludes
- Tremor due to alcohol withdrawal (F10.231)
Clinical Validation Requirements
- Temporal relationship with medication use
- Resolution upon discontinuation of the drug
Coding Notes
Ensure proper sequencing with drug poisoning codes.
R25.1 - Tremor, unspecified
Use when documentation does not specify the type of tremor.
Applicable To
- Shaky hands without further specification
Excludes
- Essential tremor (G25.0)
Clinical Validation Requirements
- Lack of specific tremor type documentation
Coding Notes
Use as a last resort when no specific tremor type is documented.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Shaky 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 non-specific diagnosis, Regulatory: May result in coding audits, Financial: Potential for claim denials
Mitigation Strategy
Train staff on documentation specificity, Use templates for consistent documentation
Impact
Reimbursement: May lead to denials due to lack of specificity, Compliance: Non-compliance with coding guidelines, Data Quality: Decreases accuracy of clinical data
Mitigation Strategy
Ensure documentation specifies tremor type to use more specific codes like G25.0.
Impact
High risk of audit if unspecified codes are used when specific codes are applicable.
Mitigation Strategy
Ensure documentation supports the most specific code possible.
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 Shaky, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Shaky
Use these documentation templates to ensure complete and accurate documentation for Shaky. These templates include all required elements for proper coding and billing.
Documenting essential tremor in neurology
Specialty: NeurologyRequired Elements
- Patient history
- Family history
- Clinical examination findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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