Extrapyramidal and movement disorders in diseases classified elsewhere
Chapter 6:Diseases of the nervous system
ICD-10 G26 is a billable code used to indicate a diagnosis of extrapyramidal and movement disorders in diseases classified elsewhere.
G26 encompasses a range of extrapyramidal and movement disorders that arise as secondary conditions due to other diseases. These disorders can manifest as tremors, rigidity, bradykinesia, and postural instability, often seen in conditions such as Parkinson's disease, Huntington's disease, and certain types of encephalopathy. The pathophysiology typically involves dysfunction in the basal ganglia and related neural pathways, which are crucial for the regulation of movement. Patients may experience a variety of symptoms that can significantly impair their quality of life. The management of these disorders often includes dopaminergic medications, which aim to restore the balance of neurotransmitters in the brain. However, the effectiveness of these treatments can vary, and side effects such as dyskinesia may occur, complicating the clinical picture. Accurate coding requires a thorough understanding of the underlying disease and its relationship to the movement disorder, making it essential for coders to be well-versed in both the primary condition and the associated movement disorders.
Detailed clinical notes outlining the patient's history, examination findings, and the relationship between the primary disease and movement disorder.
Patients with Parkinson's disease presenting with worsening tremors or new onset of rigidity.
Neurologists should ensure that all relevant diagnostic tests and treatment responses are documented to support the coding.
Comprehensive assessment of functional status and cognitive function, along with medication review.
Elderly patients with dementia exhibiting extrapyramidal symptoms due to antipsychotic medications.
Geriatricians must consider polypharmacy and its effects on movement disorders.
Used for follow-up visits for patients with chronic movement disorders.
Documentation must include history, examination, and medical decision-making.
Neurologists should document neurological assessments thoroughly.
G26 should be used when a movement disorder is secondary to another disease classified elsewhere, such as Parkinson's disease or Huntington's disease. It is essential to document the primary condition clearly.
