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G25.3
ICD-10-CM
Myoclonic Jerk

Find comprehensive information on Myoclonic Jerk, including clinical documentation, medical coding, ICD-10 codes, diagnosis criteria, differential diagnosis, treatment options, and prognosis. This resource offers insights for healthcare professionals, covering myoclonus, muscle spasms, involuntary movements, neurological disorders, movement disorders, and essential tremor. Learn about proper documentation for accurate medical coding and billing related to Myoclonic Jerk.

Also known as

Myoclonic Jerks
Myoclonic Seizures
Myoclonus

Diagnosis Snapshot

Key Facts
  • Definition : Sudden, brief, involuntary muscle twitch or spasm.
  • Clinical Signs : Single or multiple jerks, often in limbs, may be triggered by stress or sleep.
  • Common Settings : Sleep disorders, epilepsy, metabolic disorders, medication side effects.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC G25.3 Coding
G25.3

Myoclonus

Involuntary, brief muscle twitching.

R25.2

Abnormal involuntary movements

Includes tremors, tics, and other uncontrolled movements.

G40-G47

Epilepsy and recurrent seizures

Myoclonic jerks can be a symptom of certain epilepsies.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the myoclonus associated with a specific underlying condition?

  • Yes

    Is it epileptic myoclonus?

  • No

    Is it physiologic myoclonus (hiccups, sleep starts)?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Sudden, brief muscle jerk.
Epileptic myoclonus.
Physiologic myoclonus.

Documentation Best Practices

Documentation Checklist
  • Myoclonus type: document if epileptic or non-epileptic
  • Symptom onset: age, duration, frequency, triggers
  • Detailed semiology: body part(s) affected, symmetry, amplitude
  • EEG findings: correlate with myoclonus if performed
  • Differential diagnosis: other movement disorders considered/ruled out

Coding and Audit Risks

Common Risks
  • Unspecified Myoclonus

    Coding myoclonus without specifying etiology (e.g., epileptic vs. non-epileptic) leads to inaccurate reporting and potential DRG misassignment.

  • Myoclonus vs. Tremor

    Misdiagnosis between myoclonus and tremor can result in incorrect code assignment (e.g., R25.1 vs. G25.3), impacting quality metrics.

  • Lack of Documentation

    Insufficient documentation of myoclonus characteristics (frequency, severity, triggers) hinders accurate coding and may trigger audits or denials.

Mitigation Tips

Best Practices
  • Rule out other causes: Epilepsy, metabolic issues (ICD-10 G47.41, R45.81). CDI: Detailed H&P.
  • Thorough neurological exam: EEG, sleep study (ICD-10 R25.81, G47.3). Optimize coding accuracy.
  • Manage underlying conditions. Medication review (ICD-10 G25.3). Compliance: Document rationale.
  • Lifestyle changes: Stress reduction, sleep hygiene. CDI: Patient education documented.
  • Medication for symptom control if needed. Clear documentation of benefit & risk (Compliance).

Clinical Decision Support

Checklist
  • 1. Documented sudden, brief, involuntary muscle contraction?
  • 2. Onset, frequency, triggers, and affected body parts noted?
  • 3. Differentiated from other movement disorders (e.g., tremor, tic)?
  • 4. Relevant medical history, medications, and family history reviewed?
  • 5. EEG, sleep study, or other tests considered/ordered if indicated?

Reimbursement and Quality Metrics

Impact Summary
  • Myoclonic Jerk Reimbursement: ICD-10 G25.3, R25.2 (if unspecified), accurate coding maximizes payment.
  • Coding Accuracy Impact: Precise Myoclonus coding ensures proper DRG assignment, impacting hospital case mix index.
  • Quality Metrics Impact: Myoclonic Jerk documentation linked to epilepsy monitoring, falls risk assessment affects quality scores.
  • Hospital Reporting Impact: Correct Myoclonus diagnosis coding influences neurological service line data, resource allocation.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes. Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code G25.3 for myoclonus
  • Document jerk type/frequency
  • R/O epilepsy, metabolic cause
  • Consider specific syndromes
  • If drug-induced, code T43.0

Documentation Templates

Patient presents with complaints of myoclonic jerks, characterized by sudden, brief, involuntary muscle contractions.  Onset of myoclonus was [Onset - e.g., gradual, sudden], with a frequency of [Frequency - e.g., several times a day, rarely].  Jerks are described as [Description - e.g., single, repetitive, rhythmic, arrhythmic] and affect the [Location - e.g., arms, legs, face, trunk].  Patient reports [Precipitating factors - e.g., stress, sleep deprivation, caffeine intake] may exacerbate the jerks.  Review of systems reveals [Associated symptoms - e.g., insomnia, anxiety, fatigue].  Medical history includes [Relevant medical history - e.g., epilepsy, metabolic disorders, medication use].  Family history is significant for [Relevant family history - e.g., epilepsy, movement disorders].  Neurological examination demonstrates [Neurological findings - e.g., normal muscle tone and reflexes, no other neurological deficits].  Differential diagnosis includes essential myoclonus, physiological myoclonus, epileptic myoclonus, and symptomatic myoclonus secondary to [Potential underlying causes - e.g., medication side effects, metabolic disorders, neurodegenerative diseases].  Diagnostic workup may include [Diagnostic tests - e.g., EEG, MRI brain, metabolic panel, genetic testing] to determine the etiology.  Initial treatment plan includes [Treatment plan - e.g., patient education, lifestyle modifications, medication management with [Medication name and dosage]].  Patient will be monitored for treatment efficacy and potential adverse effects.  Follow-up appointment scheduled in [Duration - e.g., two weeks, one month] to reassess symptoms and adjust treatment as needed.  ICD-10 code: [ICD-10 Code - e.g., G25.3, R25.1] based on the determined etiology.