ICD-10 Coding for Extrapyramidal Symptoms(G25.9, G21.11)
Complete ICD-10-CM coding and documentation guide for Extrapyramidal Symptoms. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Extrapyramidal Symptoms
G20-G26Primary Range
Extrapyramidal and movement disorders
This range includes all extrapyramidal and movement disorders, covering both drug-induced and idiopathic conditions.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| G25.9 | Unspecified extrapyramidal and movement disorder | Use when specific subtype cannot be determined after thorough evaluation. |
|
| G21.11 | Neuroleptic-induced parkinsonism | Use when parkinsonian symptoms are directly linked to neuroleptic drug 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 extrapyramidal symptoms
Essential facts and insights about Extrapyramidal Symptoms
Primary ICD-10-CM Codes for extrapyramidal symptoms
Decision Criteria
clinical Criteria
- Symptoms are present but not specific enough to classify under a more specific code.
Applicable To
- Unspecified EPS
Excludes
- Specific drug-induced EPS
Clinical Validation Requirements
- Lack of specific symptom identification
- No clear etiology established
Code-Specific Risks
- Potential for miscoding if specific symptoms are not documented
Coding Notes
- Use as a fallback when specific EPS type is not identified.
G21.11 - Neuroleptic-induced parkinsonism
Use when parkinsonian symptoms are directly linked to neuroleptic drug use.
Applicable To
- Parkinsonism due to neuroleptic drugs
Excludes
- Idiopathic Parkinson's disease
Clinical Validation Requirements
- Presence of parkinsonian symptoms
- History of neuroleptic drug use
Coding Notes
Ensure documentation of drug use and symptom onset.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Adverse effect of antipsychotics
T43.3X5ADocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Extrapyramidal Symptoms to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G25.9.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Increased risk of audit and compliance issues., Financial: Potential for denied claims due to lack of specificity.
Mitigation Strategy
Educate clinicians on the importance of detailed documentation., Implement documentation templates.
Impact
Reimbursement: Potential for reduced reimbursement due to lack of specificity., Compliance: Increased risk of audit due to unspecified coding., Data Quality: Decreased data accuracy for clinical research and reporting.
Mitigation Strategy
Identify and document specific symptoms and drug causation.
Impact
High risk of audit if G25.9 is used without specific symptom documentation.
Mitigation Strategy
Provide training on documenting specific EPS symptoms and drug causation.
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 Extrapyramidal Symptoms, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Extrapyramidal Symptoms
Use these documentation templates to ensure complete and accurate documentation for Extrapyramidal Symptoms. These templates include all required elements for proper coding and billing.
Neuroleptic-induced parkinsonism
Specialty: NeurologyRequired Elements
- Medication history
- Parkinsonian symptom description
- Response to treatment
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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