G25.69
BillableOther tics of organic origin
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is G25.69 an HCC code?
No. G25.69 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
G25.69 is the ICD-10-CM diagnosis code for other tics of organic origin. This code describes involuntary, repetitive movements or sounds (tics) that are caused by a known medical condition or brain disorder, rather than being part of Tourette syndrome or other specified tic disorders. These tics originate from an identifiable organic cause such as brain injury, medication side effects, or neurological disease. G25.69 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).
G25.69 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
Always document the underlying cause of the tics (e.g., post-encephalitis, medication-induced, traumatic brain injury) as this helps justify medical necessity and may require an additional diagnosis code.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for G25.69 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Always document the underlying cause of the tics (e.g., post-encephalitis, medication-induced, traumatic brain injury) as this helps justify medical necessity and may require an additional diagnosis code
- •Distinguish between G25.69 (other tics of organic origin) and G25.5 (other chorea) or F95 codes (Tourette syndrome and other tic disorders) by confirming the tics have an identifiable organic/medical etiology rather than being primary tic disorders