Parkinson’s isn’t the only disorder in the group. Coders whose knowledge of movement disorders begins and ends with Parkinson’s disease are in danger of miscoding some patients with these types of ailments. Why? Although Parkinson’s is perhaps to most common movement disorder, ICD-10 has an entire code set dedicated to “Extrapyramidal and movement disorders (G20-G26).” To get a handle on the code set as a whole, we asked Beth Schleeper, COC, CPC, CPCO, CDEO, CPB, CPMA, CPPM, CRC, CPC-I, CEMC, CANPC, CEMA, owner/ instructor of Advanced Coding Services in Phoenix, for some pointers on finding the right diagnosis code for each movement disorder. Know Parkinson’s/Secondary Parkinsonism Differences At the forefront of the movement disorder sequence is G20 (Parkinson’s disease). Use this for all patients suffering from Parkinson’s disease, as well as: You’ll also need to know how to code secondary parkinsonism, which you’d report with one of the following codes: According to Medline, National Library of Medicine, “secondary parkinsonism is when symptoms similar to Parkinson disease are caused by certain medicines, a different nervous system disorder, or another illness. “Parkinsonism refers to any condition that involves the types of movement problems seen in Parkinson disease. These problems include tremors, slow movement, and stiffness of the arms and legs.” Also: You will need to select another ICD-10 code “if there is an adverse effect, to identify the drug,” Schleeper says. Each of the secondary parkinsonism codes has its own “Use additional code” instruction, printed in red under the code listing. Dystonia = G24.- Another movement disorder that is well-represented in G20-G26 is dystonia, which you’ll report with codes from to following range: “Dystonia is a movement disorder in which your muscles contract involuntarily, causing repetitive or twisting movements,” according to the Mayo Clinic. Get Familiar With Other Dx Groups in G20-G26 While the aforementioned diagnoses get most of the attention in the extrapyramidal and movement disorders code set, there are a few more codes out there that round out G20-G26. Check out this rundown of those other codes: Other degenerative diseases of basal ganglia: Report codes from the following range: Other extrapyramidal and movement disorders: Report codes from the following range: Extrapyramidal and movement disorders in diseases classified elsewhere: Report code G26 (Extrapyramidal and movement disorders in diseases classified elsewhere).