Drug induced tics
ICD-10 G25.61 is a billable code used to indicate a diagnosis of drug induced tics.
Drug-induced tics are involuntary, repetitive movements or vocalizations that occur as a side effect of certain medications, particularly those affecting the dopaminergic system. These tics can manifest in various forms, including motor tics (such as blinking, head jerking, or facial grimacing) and vocal tics (such as throat clearing or grunting). The onset of drug-induced tics is often associated with the use of dopaminergic medications, which are commonly prescribed for conditions like Parkinson's disease and other extrapyramidal disorders. The pathophysiology behind these tics is linked to the alteration of dopamine pathways in the brain, which can lead to dysregulation of motor control. Patients with a history of movement disorders may be at higher risk for developing tics when treated with antipsychotics or other medications that influence dopamine levels. Accurate diagnosis and coding of drug-induced tics are essential for appropriate management and treatment adjustments, as well as for understanding the broader implications of medication side effects in patients with underlying neurological conditions.
Detailed documentation of the patient's neurological history, current medications, and the onset and characteristics of tics.
Patients with Parkinson's disease experiencing new-onset tics after starting or adjusting dopaminergic therapy.
Consideration of the patient's overall movement disorder and potential interactions with other medications.
Thorough documentation of psychiatric medications prescribed and their potential side effects, including tics.
Patients on antipsychotic medications developing tics as a side effect.
Monitoring for tics in patients receiving long-term antipsychotic treatment.
Used for follow-up visits where drug-induced tics are assessed.
Documentation of the patient's medication history and assessment of tics.
Neurologists and psychiatrists should ensure comprehensive documentation to support the visit level.
Common medications include antipsychotics, certain antidepressants, and dopaminergic agents used in Parkinson's disease treatment. It's essential to review the patient's medication history to identify potential culprits.
