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ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 G20.B2

Billable / Specific HCC v28: 78

Parkinson's disease with dyskinesia, with fluctuations

G20
Block
1
Synonyms
606
LCDs
28
Payer Policies
13
Linked CPTs

About ICD-10-CM G20.B2

ICD-10-CM code G20.B2 represents Parkinson's disease with dyskinesia, with fluctuations. This is a billable/specific code in the Nervous System chapter (block G20). The 2026 edition of ICD-10-CM G20.B2 became effective on October 1, 2025.

Coding Tips for G20.B2

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

HCC capture: document with MEAT each year

G20.B2 is a CMS-HCC v28 risk-adjustment code (category 78). To count for the patient Risk Adjustment Factor (RAF), document the diagnosis with MEAT language each calendar year: Monitored, Evaluated, Assessed, Treated. A diagnosis on the problem list alone does not satisfy CMS RADV audit standards. Include the diagnosis in the assessment with current status and current treatment plan.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under G20.B2. Per CMS ICD-10-CM Tabular 2026.

  • Parkinson's disease with dyskinesia, with OFF episodes

Medicare Advantage HCC Impact

CMS-HCC v28 (current)
Category 78
ESRD-HCC
Category 78
RxHCC (Part D)
Category 78

Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.

Medicare LCD Coverage for G20.B2

Local Coverage Determinations (LCDs) from CMS MACs that list G20.B2 as a covered diagnosis.

606 LCDs

Showing top 10 of 606 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92524 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 96112 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92521 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97130 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97129 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92597 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97110 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97533 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 96110 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92522 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing G20.B2.

28 policies

5 Medicare

External Infusion Pumps - Policy Article
Policy ID: ART-52507
Billing and Coding: Outpatient Occupational Therapy
Policy ID: ART-53064
Billing and Coding: Outpatient Physical Therapy
Policy ID: ART-53065
Billing and Coding: Nerve Conduction Studies and Electromyography
Policy ID: ART-54095
Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Policy ID: ART-54111

CPT Codes Commonly Billed with G20.B2

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

13 linkages
  • 95923 CMS LCD: Billing and Coding: Autonomic Function Testing CMS LCD
  • 95924 CMS LCD: Billing and Coding: Autonomic Function Testing CMS LCD
  • 95921 CMS LCD: Billing and Coding: Autonomic Function Testing CMS LCD
  • 95922 CMS LCD: Billing and Coding: Autonomic Function Testing CMS LCD
  • 51741 CMS LCD: Billing and Coding: Urodynamics CMS LCD
  • 51728 CMS LCD: Billing and Coding: Urodynamics CMS LCD
  • 51729 CMS LCD: Billing and Coding: Urodynamics CMS LCD
  • 55899 CMS LCD: Billing and Coding: Urodynamics CMS LCD
  • 51792 CMS LCD: Billing and Coding: Urodynamics CMS LCD
  • 51736 CMS LCD: Billing and Coding: Urodynamics CMS LCD

ICD-10 G20.B2, Billing FAQ

Is ICD-10 code G20.B2 billable? +

Yes, G20.B2 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to G20.B2? +

ICD-10 G20.B2 includes: Parkinson's disease with dyskinesia, with OFF episodes.

Does G20.B2 affect Medicare Advantage HCC risk adjustment? +

Yes. G20.B2 maps to CMS-HCC v28 category 78. Capture this diagnosis annually for accurate Medicare Advantage risk score.

What CPT codes are commonly billed with G20.B2? +

Procedures frequently paired with G20.B2 include: 95923, 95924, 95921, 95922, 51741.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on July 16, 2026.

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