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G21 ICD-10-CM Code: Secondary parkinsonism

ICD-10-CM Code View

HCC Buddy Code Card

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FY 2026 Apr update / Diseases of the nervous system (G00-G99) / Extrapyramidal and movement disorders (G20-G26)

G21

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Secondary parkinsonism

Secondary parkinsonism

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
G2Extrapyramidal and movement disorders (G20-G26)
G21Secondary parkinsonism

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for G21 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for G21 in this effective period.

Related Child Codes

Official
G21.0Malignant neuroleptic syndrome
G21.1Other drug-induced secondary parkinsonism
G21.2Secondary parkinsonism due to other external agents
G21.3Postencephalitic parkinsonism
G21.4Vascular parkinsonism

Includes

Official

ICD-10-CM does not list Includes notes for G21 in this effective period.

Excludes 1

Official
  • Huntington's disease (G10)
  • neurocognitive disorder with Lewy bodies (G31.83)
  • Shy-Drager syndrome (G90.3)
  • syphilitic Parkinsonism (A52.19)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for G21 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for G21 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for G21 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Coder workflow notes

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What This Code Means

G21 is the ICD-10-CM diagnosis code for secondary parkinsonism. G21 sits in the ICD-10-CM chapter for diseases of the nervous system (g00-g99), within the section covering extrapyramidal and movement disorders (g20-g26).

Header codes like G21 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at G21's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for G21 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • Huntington's disease (G10)
  • neurocognitive disorder with Lewy bodies (G31.83)
  • Shy-Drager syndrome (G90.3)
  • syphilitic Parkinsonism (A52.19)

Child Codes

Code Hierarchy

G21Secondary parkinsonism
G21Secondary parkinsonism

Work G21 in HCC Buddy

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