Not Valid for Submission
R27 is a "header" nonspecific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of other lack of coordination. The code is NOT valid for the year 2021 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.
Specific Coding for Other lack of coordination
Header codes like R27 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for other lack of coordination:
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 R27:
Type 1 ExcludesType 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
- ATAXIA-. impairment of the ability to perform smoothly coordinated voluntary movements. this condition may affect the limbs trunk eyes pharynx larynx and other structures. ataxia may result from impaired sensory or motor function. sensory ataxia may result from posterior column injury or peripheral nerve diseases. motor ataxia may be associated with cerebellar diseases; cerebral cortex diseases; thalamic diseases; basal ganglia diseases; injury to the red nucleus; and other conditions.
Information for Patients
Movement disorders are neurologic conditions that cause problems with movement, such as
- Increased movement that can be voluntary (intentional) or involuntary (unintended)
- Decreased or slow voluntary movement
There are many different movement disorders. Some of the more common types include
- Ataxia, the loss of muscle coordination
- Dystonia, in which involuntary contractions of your muscles cause twisting and repetitive movements. The movements can be painful.
- Huntington's disease, an inherited disease that causes nerve cells in certain parts of the brain to waste away. This includes the nerve cells that help to control voluntary movement.
- Parkinson's disease, which is disorder that slowly gets worse over time. It causes tremors, slowness of movement, and trouble walking.
- Tourette syndrome, a condition which causes people to make sudden twitches, movements, or sounds (tics)
- Tremor and essential tremor, which cause involuntary trembling or shaking movements. The movements may be in one or more parts of your body.
Causes of movement disorders include
- Damage to the brain, spinal cord, or peripheral nerves
- Metabolic disorders
- Stroke and vascular diseases
Treatment varies by disorder. Medicines can cure some disorders. Others get better when an underlying disease is treated. Often, however, there is no cure. In that case, the goal of treatment is to improve symptoms and relieve pain.
- Angelman syndrome (Medical Encyclopedia)
- Chronic motor tic disorder (Medical Encyclopedia)
- Facial tics (Medical Encyclopedia)
- Movement - uncontrollable (Medical Encyclopedia)
- Movement - uncontrolled or slow (Medical Encyclopedia)
- Movement - uncoordinated (Medical Encyclopedia)
- Movement - unpredictable or jerky (Medical Encyclopedia)
- Neurodegeneration with brain iron accumulation (NBIA) (Medical Encyclopedia)
- Tardive dyskinesia (Medical Encyclopedia)