2025 ICD-10-CM code F95.2

Tourette's disorder, characterized by multiple motor tics and at least one vocal tic persisting for over a year.

Coding guidelines for Tourette's disorder follow standard ICD-10-CM guidelines.Accurate coding requires thorough documentation to support the diagnosis.

Modifiers are not applied to ICD-10 codes. Modifiers are used with CPT and HCPCS codes to provide additional information about the service or procedure performed.

Medical necessity for diagnosis and treatment of Tourette's disorder is established through clinical documentation demonstrating the presence of multiple motor and at least one vocal tic for over a year, impacting the individual's daily functioning, social interactions, or quality of life. Treatment is medically necessary to reduce the severity of tics, manage comorbid conditions, and improve the individual's overall well-being.

The clinical responsibility for Tourette's disorder involves a multidisciplinary approach.A pediatrician, neurologist, psychiatrist, or other qualified healthcare professional may be involved in diagnosis, management, and treatment.This may include comprehensive history taking, physical examination, neurologic examination, psychiatric evaluation, and potentially neuropsychological testing.Treatment may involve behavioral therapy, medication management, and referral to other specialists as needed.

IMPORTANT ICD-9-CM code 307.23 (Tourette's disorder) is the equivalent code.

In simple words: Tourette's disorder is a condition where someone has sudden, repeated, involuntary movements (motor tics) and sounds (vocal tics) for over a year. These tics can be simple, like blinking, or more complex, like making certain gestures.It usually begins in childhood and often gets better as people get older.

Tourette's disorder (TD), also known as Tourette syndrome, is a neurodevelopmental disorder characterized by the presence of multiple motor tics and at least one vocal tic for more than one year.The onset of tics typically occurs before the age of 18 and is not attributable to another medical condition or substance use. Motor tics can range from simple movements like blinking or shoulder shrugging to more complex movements like jumping or touching objects. Vocal tics can include sounds like throat clearing, sniffing, or grunting, or more complex vocalizations like repeating words or phrases, or even uttering socially inappropriate remarks (coprolalia, though this is uncommon).Tics may wax and wane in frequency and severity, and often are preceded by an urge or sensation (premonitory urge).

Example 1: A 10-year-old boy presents with chronic blinking, throat clearing, and occasional sniffing, which have been present for over 2 years. He is diagnosed with Tourette's disorder after a comprehensive evaluation., A 16-year-old girl reports experiencing involuntary shoulder shrugging and repetitive vocalizations, including shouting random words.A psychiatrist confirms a diagnosis of Tourette's disorder after ruling out other conditions., A 12-year-old child with Tourette's disorder experiences increased tic severity during times of stress or fatigue. The healthcare team adjusts treatment accordingly, focusing on stress management techniques and possibly adjusting medication.

Detailed history of symptoms, including onset, frequency, severity, and types of tics. Physical and neurological examination findings. Results of any relevant laboratory tests. Psychiatric evaluation.Information on the impact of tics on daily life and functionality.Family history of tic disorders or other neurological conditions.Documentation of treatment plan, including medications and therapy modalities.

** Tourette's disorder often co-occurs with other conditions such as ADHD, OCD, and anxiety disorders.These conditions should be coded separately if present.The severity of Tourette's disorder can vary greatly among individuals, with some experiencing mild symptoms and others experiencing severe, debilitating tics.

  • Revenue Code: Revenue codes will vary depending on the services provided (e.g., evaluation and management, psychotherapy).
  • RVU: RVUs are not directly associated with ICD-10 codes.Reimbursement is based on the services provided and billed using CPT or HCPCS codes, along with the relevant modifiers and place of service.
  • Global Days : Not applicable to ICD-10 codes.
  • Payment Status: Active
  • Modifier TC rule: Not applicable to ICD-10 codes.
  • Fee Schedule : Not applicable to ICD-10 codes.
  • Specialties:Pediatrics, Neurology, Psychiatry
  • Place of Service:Office, Hospital Inpatient, Hospital Outpatient, Other outpatient settings
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