Essential tremor
ICD-10 G25.0 is a billable code used to indicate a diagnosis of essential tremor.
Essential tremor (ET) is a common movement disorder characterized by involuntary, rhythmic shaking, primarily affecting the hands and arms, but can also involve the head, voice, and other body parts. Unlike Parkinson's disease, essential tremor is not associated with rigidity or bradykinesia. The tremors typically worsen with movement and can be exacerbated by stress, fatigue, or caffeine. The pathophysiology of essential tremor is not fully understood, but it is believed to involve dysfunction in the cerebellum and its connections to the thalamus. ET can be familial, suggesting a genetic component, and is often seen in older adults. Diagnosis is primarily clinical, based on the characteristic tremor pattern and exclusion of other causes. Treatment options include beta-blockers, primidone, and in some cases, deep brain stimulation for severe cases. Patients may also be prescribed dopaminergic medications if they exhibit symptoms resembling Parkinson's disease, although these are not the primary treatment for ET. Accurate coding is essential for proper management and reimbursement, as essential tremor can significantly impact a patient's quality of life.
Detailed neurological examination findings, tremor characteristics, and response to treatments.
Patients presenting with tremors, family history of tremor disorders, and those undergoing treatment adjustments.
Documenting the impact of tremors on daily activities and quality of life is crucial for treatment justification.
Comprehensive patient history, including onset and progression of tremors, and any associated symptoms.
Routine check-ups for patients with known tremor disorders and referrals to specialists.
Primary care providers should be aware of the need for referrals to neurology for complex cases.
Used for follow-up visits for medication management of essential tremor.
Document patient history, examination findings, and treatment plan.
Neurologists may require more detailed neurological assessments.
Essential tremor primarily involves rhythmic shaking that worsens with movement, while Parkinson's disease includes tremors along with rigidity and bradykinesia. Accurate diagnosis is crucial for appropriate treatment.
