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G25.69 ICD-10-CM Code: Other tics of organic origin

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

G25.69

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

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.

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
G25Other extrapyramidal and movement disorders
G25.6Drug induced tics and other tics of organic origin
G25.69Other tics of organic origin

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for G25.69 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for G25.69 in this effective period.

Related Child Codes

Official
G25.61Drug induced tics

Includes

Official

ICD-10-CM does not list Includes notes for G25.69 in this effective period.

Excludes 1

Official
  • habit spasm (F95.9)
  • tic NOS (F95.9)
  • Tourette's syndrome (F95.2)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for G25.69 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for G25.69 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for G25.69 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
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

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.

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

Excludes 1, Do NOT code together

Child Codes

Code Hierarchy

Work G25.69 in HCC Buddy

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