2027 ICD-10-CM Diagnosis Code R27.8Other lack of coordination
ICD-10-CM Codes›R00–R99›R25-R29›R27
- Billable — Valid for Submission
- Not Chronic
R27.8 is a billable ICD-10-CM diagnosis code for other lack of coordination. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 91 through 93. As a symptom code, it should not be used as a principal diagnosis once a related definitive diagnosis has been established. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Nervous system signs and symptoms.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Acute cerebellar ataxia
- Asterixis
- Asynergia
- Coarse tremor
- Control of movement - finding
- 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
- Dysmetria of limb
- Dysmetria of lower limb
- Dysmetria of upper limb
- Dyspraxia
- Dyspraxia of arm
- Finding of body control
- Finding of general balance
- Finding of pattern of coordination
- Finding of sitting balance
- Finding related to ability to balance when bending
- Finding related to ability to balance when reaching
- 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 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
- Ocular fixation - finding
- Ocular fixation projection - finding
- 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
- Tremor of limb
- 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
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to R27.8: its own notes plus those printed at R27 and Chapter 18. A note printed at a category, block or chapter applies to every code under it.
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
Notes
General instructions on how these codes are used.
- This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
- Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
- The conditions and signs or symptoms included in categories R00-R94 consist of:
- (a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
- (b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
- (c) provisional diagnosis in a patient who failed to return for further investigation or care;
- (d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
- (e) cases in which a more precise diagnosis was not available for any other reason;
- (f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name R27.8, its category, or a range that includes it.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Asterixis R27.8
Asynergia, asynergy R27.8
Disturbance (s) See Also: Disease;
coordination R27.8
Dysgraphia R27.8
Dysmetria R27.8
Dyspraxia R27.8
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Apraxias
a group of cognitive disorders characterized by the inability to perform previously learned skills that cannot be attributed to deficits of motor or sensory function. the two major subtypes of this condition are ideomotor (see apraxia, ideomotor) and ideational apraxia, which refers to loss of the ability to mentally formulate the processes involved with performing an action. for example, dressing apraxia may result from an inability to mentally formulate the act of placing clothes on the body. apraxias are generally associated with lesions of the dominant parietal lobe and supramarginal gyrus. (from adams et al., principles of neurology, 6th ed, pp56-7)
Patient EducationClinical
Movement Disorders
Movement disorders are neurologic conditions that cause problems with movement, such as:
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert R27.8 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About R27.8Overview
What is the ICD-10 code for other lack of coordination?
The ICD-10-CM code for other lack of coordination is R27.8 (sometimes written as R278). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is R27.8 (Other lack of coordination) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report other lack of coordination on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does R27.8 group to?
When other lack of coordination is the principal diagnosis on an inpatient stay, it groups to MS-DRG 91, 92, 93, with relative weights from 0.7783 to 1.7050 depending on complications. Higher weights mean higher Medicare reimbursement.
Can R27.8 be a principal diagnosis?
Use it with care. This is a symptom code, so once a definitive diagnosis explaining the other lack of coordination is established, that condition takes the principal position instead.
Can R27.8 be reported with R26.0?
Not as a rule. The Excludes1 note at R27, which applies to R27.8, lists "ataxic gait (R26.0)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).
