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2025 ICD-10-CM code R25

Abnormal involuntary movements.

Consult the official ICD-10-CM coding guidelines and the Alphabetical Index to determine the appropriate code. If the involuntary movements are associated with a known condition, that condition should be coded instead of R25.

Modifiers may be applicable depending on the context of the encounter and the services provided.Specific modifier use depends on the associated procedures and circumstances. Consult CPT and other applicable modifier guidelines.

Medical necessity is established when the patient presents with involuntary movements significantly impacting their daily function or quality of life.Further evaluation is needed to determine the underlying cause and ensure appropriate management.

The clinical responsibility for this code falls upon the physician who assesses the patient's involuntary movements, orders any necessary investigations, and manages the patient's care until a definitive diagnosis is established or the condition resolves.

IMPORTANT Specific movement disorders (G20-G26), stereotyped movement disorders (F98.4), and tic disorders (F95.-) should be coded instead if a definitive diagnosis is possible.This code is for use when the involuntary movement is nonspecific and further investigation is required.

In simple words: This code is used when someone has involuntary movements (movements they can't control) and doctors don't know the exact reason why.

This code encompasses a range of involuntary movements that lack a more specific diagnosis.It includes cases where the cause is unknown, transient, or where further investigation is needed to pinpoint a more precise diagnosis.This code is used when the involuntary movement is the primary presenting complaint and a specific etiology cannot be determined.

Example 1: A patient presents with unexplained tremors in their hands, making daily tasks difficult.After a neurological examination and initial tests, the underlying cause remains unclear, and code R25 is assigned., A patient experiences sudden, brief, involuntary jerking movements (myoclonus) following a viral infection.The movements resolve after a few days without identifiable neurological deficits.Code R25 is appropriate in this instance., A patient with a history of Parkinson's disease exhibits worsening involuntary movements (dyskinesia) despite optimal medication management.Since the dyskinesia is an additional symptom beyond the primary diagnosis, both the diagnosis code for Parkinson's disease and R25 might be used.

Detailed documentation of the type, location, frequency, duration, and any exacerbating or relieving factors associated with the involuntary movements.Results of any relevant neurological examinations, imaging studies (e.g., MRI, EEG), and laboratory tests should be included.A statement indicating the inability to establish a more specific diagnosis is crucial.

** R25 is a residual category; use it only when no other specific code is available.The code should be used judiciously, as it is a placeholder for further investigation.Accurate documentation is crucial to support the use of this code.

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