ICD-10 Coding for Tremors(G25.0, G25.1, G25.2, R25.1)
Complete ICD-10-CM coding and documentation guide for Tremors. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Tremors
G25.0-G25.9Primary Range
Other extrapyramidal and movement disorders
This range includes specific types of tremors such as essential, drug-induced, and other specified tremors.
Abnormal involuntary movements
This range includes unspecified tremors and other abnormal involuntary movements.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| G25.0 | Essential tremor | Use when the patient has a documented family history of tremor and no Parkinsonian features. |
|
| G25.1 | Drug-induced tremor | Use when tremor onset is temporally related to medication use. |
|
| G25.2 | Other specified forms of tremor | Use for intention tremor with documented cerebellar signs. |
|
| R25.1 | Tremor, unspecified | Use when the type of tremor cannot be specified. |
|
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 essential tremor
Essential facts and insights about Tremors
Primary ICD-10-CM Codes for tremors
Decision Criteria
clinical Criteria
- Family history of tremor
documentation Criteria
- Absence of Parkinsonian features
Applicable To
- Familial tremor
- Action tremor
Excludes
- Parkinsonian tremor (G25.1)
Clinical Validation Requirements
- Absence of Parkinsonian features
- Family history of tremor
- Response to propranolol
Code-Specific Risks
- Misclassification if family history is not documented
Coding Notes
- Ensure family history and response to alcohol or propranolol are documented.
G25.1 - Drug-induced tremor
Use when tremor onset is temporally related to medication use.
Applicable To
- Tremor due to medication
Excludes
- Essential tremor (G25.0)
Clinical Validation Requirements
- Temporal relationship with drug initiation
- Documentation of specific causative drug
Coding Notes
Ensure the specific drug and its adverse effect are documented.
G25.2 - Other specified forms of tremor
Use for intention tremor with documented cerebellar signs.
Applicable To
- Intention tremor
Excludes
- Essential tremor (G25.0)
Clinical Validation Requirements
- Cerebellar signs such as dysmetria
- MRI showing cerebellar atrophy
Coding Notes
Ensure cerebellar signs are documented.
R25.1 - Tremor, unspecified
Use when the type of tremor cannot be specified.
Applicable To
- Unspecified tremor
Excludes
- Essential tremor (G25.0)
Clinical Validation Requirements
- Lack of specific tremor type documentation
Coding Notes
Ensure all specific types of tremor are ruled out before using.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential 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 Tremors to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G25.0.
Impact
Clinical: Inaccurate treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Always document the specific drug causing the tremor., Use adverse effect codes appropriately.
Impact
Reimbursement: Incorrect coding may lead to reduced reimbursement., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use G25.0 when essential tremor is documented.
Impact
Risk of coding essential tremor without proper documentation.
Mitigation Strategy
Ensure family history and response to treatment are documented.
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 Tremors, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Tremors
Use these documentation templates to ensure complete and accurate documentation for Tremors. These templates include all required elements for proper coding and billing.
Neurology Clinic Visit
Specialty: NeurologyRequired Elements
- Onset and duration of tremor
- Family history
- Response to medications
- Physical exam findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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