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Home/Diagnosis/ICD-10 Coding for Abnormal Gait

ICD-10 Coding for Abnormal Gait

R26.81
R26.0

Complete ICD-10-CM coding and documentation guide for icd-10 coding for abnormal gait includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Gait Disorder
Walking Abnormality
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Key Information: ICD-10 Coding for Abnormal Gait

Essential facts and insights about ICD-10 Coding for Abnormal Gait

Use ICD-10 code R26.81 for unsteadiness on feet, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Unsteadiness on feet

Billable Code
R26.81
Billable

Diagnostic Criteria

clinical_criteria:
  • • Unsteadiness without neurological cause
applicable_to:
  • • Unsteady gait
excludes:
  • • Ataxia (R27.0)
validation:
  • • Wide-based stance
  • • Lateral sway
  • • Normal brain imaging
notes:
  • • Ensure detailed documentation of gait pattern.
risks:
  • • Misuse when ataxia is present

Ataxic gait

Billable Code
R26.0
Billable

Diagnostic Criteria

applicable_to:
  • • Cerebellar gait
excludes:
  • • Unsteady gait (R26.81)
validation:
  • • Positive Romberg test
  • • Cerebellar imaging findings
notes:
  • • Document cerebellar function tests.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z74.01

Reduced mobility

Use to indicate reduced mobility due to unsteady gait.

G11.9

Hereditary ataxia

Use when hereditary ataxia is the underlying cause.

Frequently Asked Questions

What is the ICD-10 code for abnormal gait?

The ICD-10 code for abnormal gait is primarily R26.81 for unsteadiness on feet, with other specific codes like R26.0 for ataxic gait.

How do you document unsteady gait?

Document unsteady gait by describing the base width, arm swing, and any environmental triggers affecting the gait.

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