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ICD-10 Guide
ICD-10 CodesG24.3

G24.3

Billable

Spasmodic torticollis

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 G24.3 is a billable code used to indicate a diagnosis of spasmodic torticollis.

Key Diagnostic Point:

Spasmodic torticollis, also known as cervical dystonia, is a movement disorder characterized by involuntary muscle contractions in the neck, leading to abnormal postures and movements. Patients may experience twisting or tilting of the head, which can be painful and debilitating. The condition often manifests in adulthood and can be associated with other movement disorders, including Parkinson's disease and other extrapyramidal disorders. The exact etiology remains unclear, but it is believed to involve dysfunction in the basal ganglia and other areas of the brain that control movement. Symptoms can be exacerbated by stress and fatigue, and they may fluctuate in severity. Treatment options include botulinum toxin injections, physical therapy, and dopaminergic medications, which may help alleviate symptoms in some patients. Accurate diagnosis is crucial, as spasmodic torticollis can mimic other conditions, and a thorough clinical evaluation is necessary to differentiate it from other forms of dystonia and movement disorders.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in symptom presentation among patients
  • Overlap with other movement disorders
  • Potential for misdiagnosis with other forms of dystonia
  • Need for comprehensive documentation of clinical findings

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to specify the type of dystonia
  • Lack of evidence for treatment efficacy
  • Misalignment between diagnosis and treatment codes

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, including muscle tone and reflexes, and response to treatments.

Common Clinical Scenarios

Patients presenting with neck pain and abnormal head postures, requiring differential diagnosis from other movement disorders.

Billing Considerations

Consideration of comorbid conditions such as Parkinson's disease and the impact of dopaminergic medications on symptoms.

Physical Medicine and Rehabilitation

Documentation Requirements

Assessment of functional limitations and response to physical therapy interventions.

Common Clinical Scenarios

Patients undergoing rehabilitation for neck pain and mobility issues due to spasmodic torticollis.

Billing Considerations

Focus on the impact of the condition on daily activities and quality of life.

Coding Guidelines

Inclusion Criteria

Use G24.3 When
  • According to ICD
  • 10 coding guidelines, G24
  • 3 should be used when the condition is specifically diagnosed as spasmodic torticollis
  • It is important to document the clinical features and treatment responses to support the diagnosis

Exclusion Criteria

Do NOT use G24.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

64612CPT Code

Injection, botulinum toxin type A

Clinical Scenario

Used for treatment of spasmodic torticollis.

Documentation Requirements

Document the specific muscles injected and the dosage used.

Specialty Considerations

Neurology specialists should ensure proper coding for the injection site.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of movement disorders, including spasmodic torticollis, improving the accuracy of diagnosis and treatment tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of movement disorders, including spasmodic torticollis, improving the accuracy of diagnosis and treatment tracking.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of movement disorders, including spasmodic torticollis, improving the accuracy of diagnosis and treatment tracking.

Resources

Clinical References

  • •
    Dystonia Medical Research Foundation

Coding & Billing References

  • •
    Dystonia Medical Research Foundation

Frequently Asked Questions

What is the primary treatment for spasmodic torticollis?

The primary treatment for spasmodic torticollis includes botulinum toxin injections, which help reduce muscle contractions. Physical therapy may also be beneficial.