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ICD-10 Coding for Parkinson's Disease with Dyskinesia(G20.B1, G20.B2)

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

Also known as:

PD with DyskinesiaParkinson's with Motor Complications

Related ICD-10 Code Ranges

Complete code families applicable to Parkinson's Disease with Dyskinesia

G20Primary Range

Parkinson's disease

This range includes codes specific to Parkinson's disease and its motor complications, including dyskinesia.

Dementia in other diseases classified elsewhere

Used for documenting dementia as a manifestation of Parkinson's disease.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
G20.B1Parkinson's disease with dyskinesia without fluctuationsUse when dyskinesia is present without motor fluctuations.
  • Clinical evaluation confirming dyskinesia
  • Absence of fluctuations in motor symptoms
G20.B2Parkinson's disease with dyskinesia with fluctuationsUse when dyskinesia is present with documented motor fluctuations.
  • Clinical evaluation confirming dyskinesia with motor fluctuations

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 with dyskinesia

Essential facts and insights about Parkinson's Disease with Dyskinesia

The ICD-10 codes for Parkinson's disease with dyskinesia are G20.B1 for cases without fluctuations and G20.B2 for cases with fluctuations.

Primary ICD-10-CM Codes for parkinson's disease with dyskinesia

Parkinson's disease with dyskinesia without fluctuations
Billable Code

Decision Criteria

clinical Criteria

  • Presence of dyskinesia without fluctuations

Applicable To

  • Peak-dose dyskinesia

Excludes

  • Drug-induced dyskinesia (G24.01)

Clinical Validation Requirements

  • Clinical evaluation confirming dyskinesia
  • Absence of fluctuations in motor symptoms

Code-Specific Risks

  • Misclassification if fluctuations are not documented

Coding Notes

  • Ensure documentation specifies absence of fluctuations to use G20.B1.

Ancillary Codes

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

Dementia with behavioral disturbance

F02.81
Use when dementia with behavioral disturbance is present.

Differential Codes

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

Tardive dyskinesia

G24.01
History of neuroleptic use differentiates tardive dyskinesia from Parkinson's-related dyskinesia.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Parkinson's Disease with Dyskinesia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G20.B1.

Impact

Clinical: Leads to misinterpretation of patient condition., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.

Mitigation Strategy

Use specific terms like 'levodopa-induced dyskinesia', Document timing and impact on ADLs

Impact

Reimbursement: May lead to incorrect DRG assignment and reimbursement issues., Compliance: Non-compliance with coding guidelines., Data Quality: Affects accuracy of clinical data.

Mitigation Strategy

Ensure documentation specifies dyskinesia type and presence of fluctuations.

Impact

Inadequate documentation of dyskinesia type and fluctuations.

Mitigation Strategy

Ensure detailed clinical notes specifying dyskinesia characteristics.

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 Dyskinesia, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Parkinson's Disease with Dyskinesia

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

Neurology Progress Note

Specialty: Neurology

Required Elements

  • Dyskinesia type
  • Temporal pattern
  • Functional impact

Example Documentation

Motor Complications: Choreiform dyskinesia, peak-dose pattern, interfering with feeding.

Examples: Poor vs. Good Documentation

Poor Documentation Example
PD with movement issues
Good Documentation Example
Idiopathic PD with peak-dose choreiform dyskinesia in hands, impairing utensil use.
Explanation
The good example specifies the type, timing, and impact of dyskinesia.

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

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