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v1.0.0
ICD-10 Guide
ICD-10 CodesG25.83

G25.83

Billable

Benign shuddering attacks

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

Code Description

ICD-10 G25.83 is a billable code used to indicate a diagnosis of benign shuddering attacks.

Key Diagnostic Point:

Benign shuddering attacks are characterized by sudden, brief episodes of involuntary muscle contractions that can resemble shivering or trembling. These episodes are typically benign and self-limiting, often occurring in infants and young children, but can also be observed in adults, particularly those with underlying neurological conditions. The attacks are not associated with any significant neurological deficits or long-term complications. In the context of movement disorders, benign shuddering attacks may be confused with more serious conditions such as Parkinson's disease or other extrapyramidal disorders. It is crucial to differentiate these benign episodes from pathological tremors or dyskinesias that may arise from dopaminergic medications used in the treatment of Parkinson's disease. Accurate diagnosis often involves a thorough clinical evaluation, including a detailed patient history and neurological examination, to rule out other movement disorders. The benign nature of these attacks typically means that they do not require extensive medical intervention, although reassurance and education for patients and caregivers are essential.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation from other movement disorders
  • Potential overlap with symptoms of Parkinson's disease
  • Need for comprehensive patient history
  • Variability in presentation among different age groups

Audit Risk Factors

  • Inadequate documentation of the benign nature of attacks
  • Misclassification as a more severe movement disorder
  • Failure to document patient history adequately
  • Lack of follow-up notes on the resolution of symptoms

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, patient history, and symptom description.

Common Clinical Scenarios

Patients presenting with sudden onset of shuddering attacks, particularly in pediatric populations.

Billing Considerations

Ensure clear documentation to differentiate from other movement disorders and to confirm the benign nature of the attacks.

Pediatrics

Documentation Requirements

Growth and developmental history, parental observations of shuddering episodes.

Common Clinical Scenarios

Infants or young children presenting with shuddering attacks without other neurological deficits.

Billing Considerations

Focus on parental reassurance and education regarding the benign nature of the condition.

Coding Guidelines

Inclusion Criteria

Use G25.83 When
  • According to ICD
  • 10 coding guidelines, G25
  • 83 should be used when the clinical presentation aligns with benign shuddering attacks, and other potential causes have been ruled out
  • Documentation must support the diagnosis, emphasizing the benign nature of the episodes

Exclusion Criteria

Do NOT use G25.83 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used for follow-up visits to monitor benign shuddering attacks.

Documentation Requirements

Document the patient's history, current symptoms, and any changes in frequency or severity of attacks.

Specialty Considerations

Neurologists and pediatricians should ensure clear communication with caregivers regarding the benign nature of the condition.

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 benign shuddering attacks, which were less clearly defined in ICD-9. This specificity aids in better tracking and understanding of these conditions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of movement disorders, including benign shuddering attacks, which were less clearly defined in ICD-9. This specificity aids in better tracking and understanding of these conditions.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of movement disorders, including benign shuddering attacks, which were less clearly defined in ICD-9. This specificity aids in better tracking and understanding of these conditions.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are benign shuddering attacks?

Benign shuddering attacks are brief episodes of involuntary muscle contractions that are typically harmless and self-limiting, often seen in children and sometimes in adults.

How do I differentiate benign shuddering attacks from Parkinson's disease?

Differentiation is made through a thorough clinical evaluation, focusing on the benign nature of the attacks and the absence of other neurological deficits characteristic of Parkinson's disease.