Complete ICD-10-CM coding and documentation guide for icd-10 coding for gait imbalance includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Gait Imbalance
Use ICD-10 code R26.81 for unsteadiness on feet, ensuring proper documentation in clinical notes.
Additional codes that may be used with this diagnosis
History of falls
Use as a secondary code when there is a history of falls without current unsteadiness.
The ICD-10 code for unsteady gait is R26.81, used when unsteadiness is the primary symptom without a specific underlying cause.
R26.0 should be used for ataxic gait when cerebellar signs are present, such as a wide base and heel-to-shin incoordination.