Abnormal movements

david.etheredge@childrensal.orgdavid.etheredge@childrensal.org
in Pediatrics

We see infants with abnormal movements witnessed at home by parents who we admit for evaluation for possible seizure disorders. If no diagnosis is found and we have no witnessed events we code R25.9 Unspecified abnormal involuntary movements. Some of our coders question if we should be using G25.9 Unspecified extrapyramidal and movement disorder. The question seems to come from the issue that our MDs don't document "involuntary". From a CDI perspective, most infant movement is involuntary and this is more of a rule out admission.

How are you coding this type of patient in your facilities?

Appreciate any help,

David

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