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ICD-10 Coding for Parkinson's Disease(G20, G20.B2)

Complete ICD-10-CM coding and documentation guide for Parkinson's Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

PDParalysis AgitansShaking Palsyidiopathic parkinson'sprimary parkinsonismidiopathic parkinsonismparkinsonism

Related ICD-10 Code Ranges

Complete code families applicable to Parkinson's Disease

G20Primary Range

Parkinson's Disease

Primary code range for idiopathic Parkinson's disease, covering various manifestations and complications.

Dementia in other diseases classified elsewhere

Used for coding dementia associated with Parkinson's disease.

Abnormal involuntary movements

Codes for tremors and other movement disorders related to Parkinson's.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
G20Parkinson's DiseaseUse for confirmed idiopathic Parkinson's disease without specifying complications.
  • Presence of bradykinesia, rigidity, resting tremor
  • Positive response to levodopa
G20.B2Parkinson's disease with dyskinesia and fluctuationsUse when both dyskinesia and motor fluctuations are documented.
  • Documented dyskinesia and wearing-off episodes

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 Parkinson's Disease

Essential facts and insights about Parkinson's Disease

The ICD-10 code for Parkinson's Disease is G20, used for idiopathic cases.

Primary ICD-10-CM Codes for parkinson' disease

Parkinson's Disease
Non-billable Code

Decision Criteria

clinical Criteria

  • Confirmed idiopathic Parkinson's with classic symptoms

Applicable To

  • Idiopathic Parkinsonism

Excludes

  • Drug-induced Parkinsonism (G21.1)
  • Secondary Parkinsonism (G21.8)

Clinical Validation Requirements

  • Presence of bradykinesia, rigidity, resting tremor
  • Positive response to levodopa

Code-Specific Risks

  • Misclassification if secondary causes are not ruled out

Coding Notes

  • Ensure idiopathic nature is documented to avoid misclassification.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Dementia in other diseases classified elsewhere without behavioral disturbance

F02.80
Use when dementia is present without behavioral disturbances.

Other abnormal involuntary movements

R25.8
Use for specific types of dyskinesia.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Lewy body dementia

G31.83
Use when cognitive decline precedes motor symptoms by over a year.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Parkinson's Disease to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G20.

Impact

Clinical: Inadequate treatment planning, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials

Mitigation Strategy

Use specific clinical terms, Document response to treatment

Impact

Reimbursement: Potential claim denial or reduced payment, Compliance: Non-compliance with CMS guidelines, Data Quality: Inaccurate clinical data representation

Mitigation Strategy

Always sequence G20 before F02.80/F02.81

Impact

Inadequate documentation of motor symptoms can lead to audit issues.

Mitigation Strategy

Ensure thorough documentation of all motor symptoms and treatment responses.

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 Parkinson's Disease, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Parkinson's Disease

Use these documentation templates to ensure complete and accurate documentation for Parkinson's Disease. These templates include all required elements for proper coding and billing.

Initial diagnosis of Parkinson's Disease

Specialty: Neurology

Required Elements

  • Patient history
  • Physical examination findings
  • Diagnostic test results
  • Treatment plan

Example Documentation

Patient presents with bradykinesia, resting tremor, and rigidity. DaTscan confirms diagnosis. Initiate levodopa therapy.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has Parkinson's.
Good Documentation Example
Patient diagnosed with idiopathic Parkinson's disease, confirmed by DaTscan, exhibiting bradykinesia and resting tremor.
Explanation
The good example provides specific diagnostic criteria and confirmation method.

Need help with ICD-10 coding for Parkinson's Disease? Ask your questions below.

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