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ICD-10 Guide
ICD-10 CodesChapter 6: Diseases of the nervous systemG25

G25

Billable

Other extrapyramidal and movement disorders

Chapter 6:Diseases of the nervous system

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

Code Description

ICD-10 G25 is a billable code used to indicate a diagnosis of other extrapyramidal and movement disorders.

Key Diagnostic Point:

The G25 code encompasses a variety of movement disorders that are not classified under more specific categories such as Parkinson's disease or essential tremor. These disorders can manifest as abnormal movements, including tremors, rigidity, bradykinesia, and postural instability. They may arise from various etiologies, including neurodegenerative diseases, medication side effects, or metabolic disturbances. Common conditions under this code include drug-induced movement disorders, dystonia, and myoclonus. Patients may present with symptoms that significantly impact their quality of life, necessitating a comprehensive evaluation and management plan. Treatment often involves the use of dopaminergic medications, anticholinergics, or other pharmacological agents tailored to the specific disorder. Accurate coding requires a thorough understanding of the patient's clinical presentation and the underlying cause of the movement disorder.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes leading to similar symptoms
  • Overlap with other movement disorder codes
  • Need for detailed clinical documentation to specify the type of disorder
  • Potential for misdiagnosis or misclassification

Audit Risk Factors

  • Inadequate documentation of the specific movement disorder
  • Failure to specify the underlying cause of the disorder
  • Use of G25 without supporting clinical evidence
  • Inconsistent coding across different encounters

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, including specific symptoms and their duration.

Common Clinical Scenarios

Patients presenting with tremors, rigidity, or abnormal gait.

Billing Considerations

Ensure clarity in distinguishing between primary and secondary movement disorders.

Psychiatry

Documentation Requirements

Assessment of medication history, particularly antipsychotic use, and its relation to movement disorders.

Common Clinical Scenarios

Patients experiencing tardive dyskinesia or other drug-induced movement disorders.

Billing Considerations

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

Coding Guidelines

Inclusion Criteria

Use G25 When
  • Follow the official ICD
  • CM coding guidelines, ensuring to document the specific type of movement disorder and its etiology
  • Include any relevant clinical findings and treatment responses

Exclusion Criteria

Do NOT use G25 When
No specific exclusions found.

Related CPT Codes

99214CPT Code

Established patient office visit, level 4

Clinical Scenario

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

Documentation Requirements

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

Specialty Considerations

Neurologists should ensure detailed neurological assessments are included.

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, improving the ability to capture the nuances of these conditions. G25 provides a broader category for disorders that may not fit neatly into other classifications, allowing for better tracking and management of these patients.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of movement disorders, improving the ability to capture the nuances of these conditions. G25 provides a broader category for disorders that may not fit neatly into other classifications, allowing for better tracking and management of these patients.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of movement disorders, improving the ability to capture the nuances of these conditions. G25 provides a broader category for disorders that may not fit neatly into other classifications, allowing for better tracking and management of these patients.

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 types of conditions are included under G25?

G25 includes various extrapyramidal and movement disorders such as dystonia, myoclonus, and drug-induced movement disorders that do not fall under more specific categories.