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ICD-10 Guide
ICD-10 CodesG25.69

G25.69

Billable

Other tics of organic origin

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

Code Description

ICD-10 G25.69 is a billable code used to indicate a diagnosis of other tics of organic origin.

Key Diagnostic Point:

G25.69 refers to tics that arise from identifiable organic causes, such as neurological disorders. These tics can manifest in various forms, including involuntary movements or vocalizations. In the context of Parkinson's disease and other extrapyramidal disorders, tics may occur due to the underlying pathophysiology of these conditions or as a side effect of dopaminergic medications used in treatment. Parkinson's disease, characterized by the degeneration of dopaminergic neurons in the substantia nigra, can lead to a range of movement disorders, including tremors, rigidity, and bradykinesia. The introduction of dopaminergic medications, while beneficial for managing symptoms, can sometimes exacerbate or induce tics. Extrapyramidal symptoms, which include a variety of movement disorders resulting from dysfunction in the basal ganglia, may also contribute to the development of tics. Accurate diagnosis and coding of G25.69 require a thorough understanding of the patient's medical history, medication regimen, and the specific nature of the tics observed.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between organic and non-organic tics
  • Understanding the impact of dopaminergic medications
  • Identifying the underlying neurological conditions
  • Documenting the specific characteristics of tics

Audit Risk Factors

  • Inadequate documentation of organic causes
  • Failure to note medication side effects
  • Misclassification of tics as primary movement disorders
  • Lack of comprehensive patient history

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, medication history, and specific tic descriptions.

Common Clinical Scenarios

Patients with Parkinson's disease presenting with new-onset tics after medication adjustments.

Billing Considerations

Consideration of the patient's overall movement disorder and potential interactions with other medications.

Psychiatry

Documentation Requirements

Assessment of tic severity, impact on daily functioning, and any psychiatric comorbidities.

Common Clinical Scenarios

Patients with tic disorders exacerbated by anxiety or stress.

Billing Considerations

Differentiating between tic disorders and other psychiatric conditions.

Coding Guidelines

Inclusion Criteria

Use G25.69 When
  • According to ICD
  • 10 guidelines, G25
  • 69 should be used when tics are confirmed to have an organic origin
  • Documentation must support the diagnosis, including the identification of any underlying neurological conditions and the effects of medications

Exclusion Criteria

Do NOT use G25.69 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 tics and movement disorders.

Documentation Requirements

Detailed history, examination findings, and treatment plan.

Specialty Considerations

Neurologists should document neurological assessments thoroughly.

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 tics of organic origin, improving the accuracy of diagnosis and treatment tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of movement disorders, including tics of organic origin, improving the accuracy of diagnosis and treatment tracking.

Reimbursement & Billing Impact

impact of medications.

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 the common causes of tics of organic origin?

Common causes include neurological disorders such as Parkinson's disease, Huntington's disease, and the effects of certain medications, particularly dopaminergic agents.