ICD-10-CM Code R27.8

Other lack of coordination

Version 2020 Billable Code No Valid Principal Dx

Valid for Submission

R27.8 is a billable code used to specify a medical diagnosis of other lack of coordination. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code R27.8 might also be used to specify conditions or terms like acute cerebellar ataxia, asterixis, asynergia, coarse tremor, control of movement - finding, coordination problem, etc

According to ICD-10-CM guidelines this code should not to be used as a principal diagnosis code when a related definitive diagnosis has been established.

ICD-10:R27.8
Short Description:Other lack of coordination
Long Description:Other lack of coordination

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 R27.8 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:

  • Acute cerebellar ataxia
  • Asterixis
  • Asynergia
  • Coarse tremor
  • Control of movement - finding
  • Coordination problem
  • Coordination problem
  • Coordination problem
  • Decreased coordination
  • Deep dysgraphia
  • Difficulty balancing
  • Difficulty balancing when bending
  • Difficulty balancing when reaching
  • Difficulty balancing when sitting
  • Difficulty standing alone
  • Difficulty standing on one leg
  • Does not balance
  • Does not balance when bending
  • Does not balance when reaching
  • Does not balance when sitting
  • Does not stand alone
  • Does not stand on one leg
  • Drops things
  • Dysdiadochokinesis
  • Dysdiadochokinesis present
  • Dysgraphia
  • Dysmetria
  • Dyspraxia
  • Dyspraxia of arm
  • Finding of body control
  • Finding of body control
  • Finding of general balance
  • Finding of general balance
  • Finding of pattern of coordination
  • Finding of pattern of coordination
  • Finding of sitting balance
  • Finding of sitting balance
  • Finding related to ability to balance when bending
  • Finding related to ability to balance when bending
  • Finding related to ability to balance when reaching
  • Finding related to ability to balance when reaching
  • Finding related to ability to balance when sitting
  • Finding related to ability to balance when sitting
  • Finding related to ability to bend to pick up object without falling
  • Finding related to ability to stand alone
  • Finding related to ability to stand alone
  • Finding related to ability to stand alone
  • Finding related to ability to stand on one leg
  • Finding related to ability to stand on one leg
  • Finding related to ability to stand on one leg
  • Fine motor disability
  • Finger-nose test abnormal
  • Finger-nose test finding
  • Fumbles with things
  • General unsteadiness
  • Incoordination
  • Loss of control of movement
  • Loss of trunk control
  • Muscular incoordination
  • Named sign of balance
  • O/E - clumsy
  • O/E - coordination
  • O/E - coordination
  • O/E - coordination
  • O/E - dysdiadochokinesia present
  • Ocular fixation - finding
  • Ocular fixation projection - finding
  • On examination - dysdiadochokinesia
  • On examination - dyspraxia
  • On examination - past pointing
  • Paragraphia
  • Past pointing
  • Phonological dysgraphia
  • Poor balance
  • Rebound dysmetria
  • Romberg sign
  • Romberg test evokes stiff fall backward
  • Romberg test positive and direction of fall affected by head turn
  • Surface dysgraphia
  • Trunk control - finding
  • Unable to bend
  • Unable to bend down
  • Unable to bend to pick up object without falling
  • Unable to stand alone
  • Unable to stand on one leg

Clinical Information

  • 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.

Convert R27.8 to ICD-9

  • 781.3 - Lack of coordination (Approximate Flag)

Code Classification

  • Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00–R99)
    • Symptoms and signs involving the nervous and musculoskeletal systems (R25-R29)
      • Other lack of coordination (R27)

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

Information for Patients


Movement Disorders

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

  • Genetics
  • Infections
  • Medicines
  • Damage to the brain, spinal cord, or peripheral nerves
  • Metabolic disorders
  • Stroke and vascular diseases
  • Toxins

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.


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