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Home/Diagnosis/ICD-10 Coding for Balance Issues

ICD-10 Coding for Balance Issues

R26.81
R42

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

Also Known as:
Gait Instability
Dizziness
Unsteadiness
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Key Information: ICD-10 Coding for Balance Issues

Essential facts and insights about ICD-10 Coding for Balance Issues

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

  • • Presence of unsteadiness without neurological ataxia

Applicable To

  • • Idiopathic gait instability

Important Notes

  • • Ensure documentation specifies the nature of unsteadiness to avoid misclassification.

Dizziness and giddiness

Billable Code
R42
Billable

Applicable To

  • • Non-specific dizziness

Important Notes

  • • Ensure dizziness is not due to a vestibular disorder before using R42.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z74.01

Fall risk

Use to indicate increased risk of falls due to balance issues.

Frequently Asked Questions

What is the ICD-10 code for balance issues?

The ICD-10 code for balance issues primarily includes R26.81 for unsteadiness on feet and R42 for dizziness without specific balance impairment.

When should R26.81 be used?

Use R26.81 for patients exhibiting unsteadiness without a specific underlying neurological disorder, validated by tests like the Romberg.

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