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v1.0.0
ICD-10 Guide
ICD-10 CodesG25.89

G25.89

Billable

Other specified extrapyramidal and movement disorders

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

Code Description

ICD-10 G25.89 is a billable code used to indicate a diagnosis of other specified extrapyramidal and movement disorders.

Key Diagnostic Point:

G25.89 encompasses a variety of movement disorders that do not fall under more specific categories within the ICD-10 coding system. These disorders can include atypical forms of Parkinsonism, drug-induced movement disorders, and other conditions that affect the extrapyramidal system, which is responsible for the coordination of movement. Patients may present with symptoms such as tremors, rigidity, bradykinesia, and postural instability. The diagnosis often requires a comprehensive clinical evaluation, including a detailed patient history and neurological examination. The use of dopaminergic medications, such as levodopa or dopamine agonists, is common in managing these disorders, particularly in Parkinson's disease. However, the response to treatment can vary significantly among patients, and some may experience side effects or develop medication-induced movement disorders. Accurate coding is essential for proper treatment planning and reimbursement, as well as for tracking the prevalence and outcomes of these conditions in clinical practice.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of conditions included under this code
  • Overlap with other movement disorder codes
  • Need for detailed clinical documentation
  • Potential for misdiagnosis or misclassification

Audit Risk Factors

  • Inadequate documentation of the specific movement disorder
  • Failure to specify the type of dopaminergic medication used
  • Lack of follow-up notes on treatment response
  • Misalignment between diagnosis and treatment provided

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, medication history, and response to treatment.

Common Clinical Scenarios

Diagnosis of atypical Parkinsonism, management of drug-induced movement disorders.

Billing Considerations

Ensure clarity in documentation regarding the specific type of movement disorder and any associated symptoms.

Psychiatry

Documentation Requirements

Assessment of psychiatric symptoms related to movement disorders, including side effects of psychotropic medications.

Common Clinical Scenarios

Management of patients with Parkinson's disease experiencing depression or anxiety.

Billing Considerations

Document any psychiatric evaluations and their relation to movement disorder symptoms.

Coding Guidelines

Inclusion Criteria

Use G25.89 When
  • According to ICD
  • 10 guidelines, G25
  • 89 should be used when the specific movement disorder is not classified elsewhere
  • Coders should ensure that the documentation supports the diagnosis and that it is not a more specific condition

Exclusion Criteria

Do NOT use G25.89 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 history, examination, and medical decision-making.

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, improving the accuracy of diagnoses and treatment tracking. G25.89 provides flexibility for conditions that do not fit neatly into other categories, but it requires careful documentation to avoid misclassification.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of movement disorders, improving the accuracy of diagnoses and treatment tracking. G25.89 provides flexibility for conditions that do not fit neatly into other categories, but it requires careful documentation to avoid misclassification.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of movement disorders, improving the accuracy of diagnoses and treatment tracking. G25.89 provides flexibility for conditions that do not fit neatly into other categories, but it requires careful documentation to avoid misclassification.

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 G25.89?

G25.89 includes various movement disorders that are not classified elsewhere, such as atypical Parkinsonism and drug-induced movement disorders.

When should I use G25.89 instead of a more specific code?

Use G25.89 when the specific movement disorder is not clearly defined or documented, and no other specific code applies.