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ICD-10 Guide
ICD-10 CodesG25.9

G25.9

Billable

Extrapyramidal and movement disorder, unspecified

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

Code Description

ICD-10 G25.9 is a billable code used to indicate a diagnosis of extrapyramidal and movement disorder, unspecified.

Key Diagnostic Point:

Extrapyramidal and movement disorders encompass a range of conditions that affect the motor system, leading to abnormal movements. These disorders can arise from various causes, including neurodegenerative diseases, medication side effects, and metabolic disturbances. Parkinson's disease is one of the most recognized extrapyramidal disorders, characterized by tremors, rigidity, bradykinesia, and postural instability. Other movement disorders include dystonia, chorea, and tics. The term 'unspecified' indicates that the clinician has not determined the exact type of movement disorder, which may complicate treatment and management. Patients may present with a combination of symptoms that overlap with other neurological conditions, making accurate diagnosis challenging. Dopaminergic medications, such as levodopa and dopamine agonists, are commonly used to manage symptoms in Parkinson's disease and other movement disorders. However, these medications can also lead to side effects, including dyskinesias, which may further complicate the clinical picture. Understanding the nuances of these disorders is crucial for effective coding and treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of symptoms that can overlap with other conditions
  • Need for comprehensive patient history to determine the cause
  • Potential for multiple diagnoses complicating coding
  • Variability in treatment responses to dopaminergic medications

Audit Risk Factors

  • Inadequate documentation of symptoms and history
  • Failure to specify the type of movement disorder
  • Misuse of unspecified codes when a specific diagnosis exists
  • Inconsistent treatment documentation

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, patient history, and treatment response.

Common Clinical Scenarios

Patients presenting with tremors, rigidity, or abnormal movements without a clear diagnosis.

Billing Considerations

Ensure all relevant symptoms and treatment responses are documented to support the use of G25.9.

Psychiatry

Documentation Requirements

Assessment of movement disorders related to psychiatric medications, including history of medication use.

Common Clinical Scenarios

Patients experiencing movement disorders as side effects of antipsychotic medications.

Billing Considerations

Documenting the timeline of medication changes and symptom onset is crucial.

Coding Guidelines

Inclusion Criteria

Use G25.9 When
  • According to ICD
  • 10 guidelines, G25
  • 9 should be used when the specific type of extrapyramidal or movement disorder is not documented
  • Coders should ensure that all relevant clinical information is available to support the use of this unspecified code

Exclusion Criteria

Do NOT use G25.9 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99214CPT Code

Established patient office visit, level 4

Clinical Scenario

Used for follow-up visits for patients with movement disorders.

Documentation Requirements

Document the patient's history, examination findings, and treatment response.

Specialty Considerations

Neurologists should ensure detailed notes on neurological assessments.

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, but G25.9 remains a necessary code for cases where the diagnosis is not yet established. Coders must be diligent in documenting the clinical rationale for using this unspecified code.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of movement disorders, but G25.9 remains a necessary code for cases where the diagnosis is not yet established. Coders must be diligent in documenting the clinical rationale for using this unspecified code.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of movement disorders, but G25.9 remains a necessary code for cases where the diagnosis is not yet established. Coders must be diligent in documenting the clinical rationale for using this unspecified code.

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

When should G25.9 be used?

G25.9 should be used when a patient presents with symptoms of an extrapyramidal or movement disorder, but a specific diagnosis has not yet been established.