ICD-10-CM Code G21.2

Secondary parkinsonism due to other external agents

Version 2021 Billable Code

Valid for Submission

G21.2 is a billable code used to specify a medical diagnosis of secondary parkinsonism due to other external agents. The code is valid for the fiscal year 2021 for the submission of HIPAA-covered transactions. The ICD-10-CM code G21.2 might also be used to specify conditions or terms like carbon monoxide-induced parkinsonism or mptp-induced parkinsonism or parkinsonism caused by cyanide.

ICD-10:G21.2
Short Description:Secondary parkinsonism due to other external agents
Long Description:Secondary parkinsonism due to other external agents

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code G21.2:

Code First

Code First
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code G21.2 are found in the index:


Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Carbon monoxide-induced parkinsonism
  • MPTP-induced parkinsonism
  • Parkinsonism caused by cyanide

Convert G21.2 to ICD-9

  • 332.1 - Secondary parkinsonism (Approximate Flag)

Code Classification

  • Diseases of the nervous system (G00–G99)
    • Extrapyramidal and movement disorders (G20-G26)
      • Secondary parkinsonism (G21)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021

Information for Patients


Parkinson's Disease

Also called: Paralysis agitans, Shaking palsy

Parkinson's disease (PD) is a type of movement disorder. It happens when nerve cells in the brain don't produce enough of a brain chemical called dopamine. Sometimes it is genetic, but most cases do not seem to run in families. Exposure to chemicals in the environment might play a role.

Symptoms begin gradually, often on one side of the body. Later they affect both sides. They include

  • Trembling of hands, arms, legs, jaw and face
  • Stiffness of the arms, legs and trunk
  • Slowness of movement
  • Poor balance and coordination

As symptoms get worse, people with the disease may have trouble walking, talking, or doing simple tasks. They may also have problems such as depression, sleep problems, or trouble chewing, swallowing, or speaking.

There is no lab test for PD, so it can be difficult to diagnose. Doctors use a medical history and a neurological examination to diagnose it.

PD usually begins around age 60, but it can start earlier. It is more common in men than in women. There is no cure for PD. A variety of medicines sometimes help symptoms dramatically. Surgery and deep brain stimulation (DBS) can help severe cases. With DBS, electrodes are surgically implanted in the brain. They send electrical pulses to stimulate the parts of the brain that control movement.

NIH: National Institute of Neurological Disorders and Stroke

  • Deep brain stimulation (Medical Encyclopedia)
  • Parkinson disease (Medical Encyclopedia)
  • Secondary parkinsonism (Medical Encyclopedia)
  • Swallowing problems (Medical Encyclopedia)

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