ICD-10 Coding for Tourette Syndrome(F95.2)
Complete ICD-10-CM coding and documentation guide for Tourette Syndrome. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Tourette Syndrome
F95.0-F95.9Primary Range
Tic disorders, including Tourette syndrome
This range includes all tic disorders, with F95.2 specifically for Tourette syndrome.
Key Information: ICD-10 code for Tourette syndrome
Essential facts and insights about Tourette Syndrome
Primary ICD-10-CM Code for tourette syndrome
Decision Criteria
clinical Criteria
- Presence of both motor and vocal tics for at least 12 months
documentation Criteria
- Exclusion of other causes such as substance use
Applicable To
- Tourette syndrome
Excludes
- Drug-induced tic disorder (G24.1)
Clinical Validation Requirements
- Presence of both motor and vocal tics for at least 12 months
- Onset before age 18
- Exclusion of other causes such as substance use
Code-Specific Risks
- Incorrectly coding for tics present for less than 12 months
Coding Notes
- Ensure documentation supports the presence of both motor and vocal tics for the required duration.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Other abnormal involuntary movements
R25.8Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Drug-induced tic disorder
G24.1Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Tourette 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 misdiagnosis., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Use specific language to describe tics., Include duration and onset in notes.
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use R25.8 until the duration criteria are met.
Impact
Failure to document the required duration of tics.
Mitigation Strategy
Implement checklists for tic duration documentation.
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 Syndrome, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Tourette Syndrome
Use these documentation templates to ensure complete and accurate documentation for Tourette Syndrome. These templates include all required elements for proper coding and billing.
Neurology Progress Note
Specialty: NeurologyRequired Elements
- Assessment of motor and vocal tics
- Duration and onset age
- Exclusion of other causes
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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