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Home/Diagnosis/ICD-10 Coding for Gait Instability

ICD-10 Coding for Gait Instability

R26.81
R26.0

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

Also Known as:
Unsteady Gait
Balance Disorder
Walking Difficulty
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Key Information: ICD-10 Coding for Gait Instability

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

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

  • • Patient exhibits unsteadiness on feet without specific neurological signs.

Applicable To

  • • Unsteady gait

Important Notes

  • • Ensure documentation includes specific balance assessments to support the use of R26.81.

Ataxic gait

Billable Code
R26.0
Billable

Diagnostic Criteria

  • • Use when gait instability is due to cerebellar dysfunction.

Applicable To

  • • Cerebellar ataxia

Important Notes

  • • Document specific cerebellar signs to justify the use of R26.0.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z91.81

History of falling

Use when documenting a history of falls to support risk assessment.

Frequently Asked Questions

What is the ICD-10 code for gait instability?

The ICD-10 code for gait instability is R26.81, which is used for unsteadiness on feet without specific neurological signs.

How do you code ataxic gait?

Ataxic gait is coded as R26.0 in ICD-10, used when cerebellar signs such as dysmetria are present.

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