ICD-10 Coding for Tourette's Syndrome(F95.2, F95.1)
Complete ICD-10-CM coding and documentation guide for Tourette's Syndrome. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Tourette's Syndrome
F95.0-F95.9Primary Range
Tic disorders
This range includes all tic disorders, with F95.2 specifically for Tourette's Syndrome.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F95.2 | Tourette's disorder | Use when both motor and vocal tics are present, and onset is before age 18 without substance influence. |
|
| F95.1 | Chronic motor or vocal tic disorder | Use when only motor or vocal tics are present for more than a year. |
|
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 Tourette's Syndrome
Essential facts and insights about Tourette's Syndrome
Primary ICD-10-CM Codes for tourette's syndrome
Decision Criteria
clinical Criteria
- Both motor and vocal tics present
coding Criteria
- Onset before age 18
documentation Criteria
- No substance use causing tics
Applicable To
- Tourette's syndrome with both motor and vocal tics
Excludes
- Organic tics (G25.69)
Clinical Validation Requirements
- Presence of both motor and vocal tics
- Onset before age 18
- No substance use causing tics
Code-Specific Risks
- Incorrectly coding when only one type of tic is present
- Not ruling out substance-induced tics
Coding Notes
- Ensure both motor and vocal tics are documented for F95.2.
F95.1 - Chronic motor or vocal tic disorder
Use when only motor or vocal tics are present for more than a year.
Applicable To
- Chronic motor tic disorder
- Chronic vocal tic disorder
Excludes
- Tourette's disorder (F95.2)
Clinical Validation Requirements
- Presence of either motor or vocal tics
- Duration longer than 1 year
Coding Notes
Ensure documentation specifies only one type of tic.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Obsessive-compulsive disorder
F42Differential 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 Tourette's Syndrome to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F95.2.
Impact
Clinical: May lead to incorrect diagnosis., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Include tic duration in all assessments, Review documentation for completeness
Impact
Reimbursement: Incorrect coding can lead to claim denials., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data reporting.
Mitigation Strategy
Use F95.0 for transient tics lasting less than 12 months.
Impact
Incomplete documentation of tic types and duration.
Mitigation Strategy
Implement thorough documentation protocols.
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 Tourette's Syndrome, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Tourette's Syndrome
Use these documentation templates to ensure complete and accurate documentation for Tourette's Syndrome. These templates include all required elements for proper coding and billing.
Neurology assessment for Tourette's Syndrome
Specialty: NeurologyRequired Elements
- Motor and vocal tic descriptions
- Onset age
- Duration of symptoms
- Exclusion of substance use
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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