Parkinson's Disease Documentation Guide
Progressive neurodegenerative disorder affecting movement with dopaminergic neuron loss.
ICD-10 Codes: G20, G20.A1, G20.A2, G20.B1, G20.B2, G20.C
Common Symptoms
- Tremor
- Bradykinesia
- Rigidity
- Postural instability
- Gait freezing
- Masked facies
Key Documentation Elements
- Hoehn and Yahr stage
- Motor symptom assessment (UPDRS if available)
- Current dopaminergic medication regimen
- On/off fluctuations and wearing-off
- Non-motor symptoms (cognitive, psychiatric, autonomic)
- Fall risk assessment
Documentation Challenges
- Documenting Hoehn and Yahr staging
- Recording motor and non-motor symptom assessment
- Capturing medication response and wearing-off phenomena
- Tracking cognitive decline and psychiatric comorbidities
Billing Considerations
- G20 subtype coding with dyskinesia status
- Complex chronic care management billing
- Documentation supporting high-complexity E&M
- Physical and occupational therapy referral documentation
Frequently Asked Questions
What ICD-10 codes are used for Parkinson's disease?
Parkinson's uses G20 with subtypes: G20.A1/A2 (without dyskinesia, with/without fluctuations), G20.B1/B2 (with dyskinesia, with/without fluctuations), G20.C (unspecified). Scribeable codes based on documented motor features.
How does Scribeable help with Parkinson's documentation?
Scribeable captures motor and non-motor symptoms, medication regimen details, on/off fluctuations, and staging information from your encounter to generate comprehensive PD management notes.