G20.B2 Parkinson's disease with dyskinesia, with fluctuations

Billable ICD-10-CM code, FY2026.

Applicable to

• Parkinson's disease with dyskinesia, with OFF episodes

Applies from G20 Parkinson's disease

Applicable to

• Hemiparkinsonism
• Idiopathic Parkinsonism or Parkinson's disease
• Paralysis agitans
• Primary Parkinsonism or Parkinson's disease

Use additional code

• code, if applicable, to identify:
• dementia with anxiety (F02.84, F02.A4, F02.B4, F02.C4)
• dementia with behavioral disturbance (F02.81-, F02.A1-, F02.B1-, F02.C1-)
• dementia with mood disturbance (F02.83, F02.A3, F02.B3, F02.C3)
• dementia with psychotic disturbance (F02.82, F02.A2, F02.B2, F02.C2)
• dementia without behavioral disturbance (F02.80, F02.A0, F02.B0, F02.C0)
• mild neurocognitive disorder due to known physiological condition (F06.7-)

Applies from G20.B Parkinson's disease with dyskinesia

Excludes1 (never code together)

• drug induced dystonia (G24.0-)

Risk adjustment (HCC)

• CMS-HCC V28: HCC 199 — Parkinson and Other Degenerative Disease of Basal Ganglia
• CMS-HCC V22: HCC 78 — Parkinson's and Huntington's Diseases
• RxHCC V08: HCC 161 — Parkinson Disease
• ESRD V24: HCC 78

MS-DRG index

Defines the logic of DRG(s) 056-057 in MDC 01.

Code annotations containing back-references to G20.B2

Back-references to G20.B

• Type 1 Excludes: G20.C Parkinsonism, unspecified ("Parkinson's disease with dyskinesia (G20.B-)")

Back-references to G20

• Code First: F02 Dementia in other diseases classified elsewhere ("Parkinson's disease (G20.-)")
• Code First: F06.7 Mild neurocognitive disorder due to known physiological condition ("Parkinson's disease (G20.-)")
• Type 2 Excludes: F98.4 Stereotyped movement disorders ("movement disorders of organic origin (G20-G25)")
• Type 1 Excludes: R25 Abnormal involuntary movements ("specific movement disorders (G20-G26)")
• Code First: R47.82 Fluency disorder in conditions classified elsewhere ("Parkinson's disease (G20.-)")

Diagnosis Index entries for G20.B2

• Disease, diseased › Parkinson's › with dyskinesia › with › fluctuations
• Disease, diseased › Parkinson's › with dyskinesia › with › OFF episodes

Nearby codes

• G20.A Parkinson's disease without dyskinesia
• G20.A1 Parkinson's disease without dyskinesia, without mention of fluctuations
• G20.A2 Parkinson's disease without dyskinesia, with fluctuations
• G20.B Parkinson's disease with dyskinesia
• G20.B1 Parkinson's disease with dyskinesia, without mention of fluctuations
• G20.B2 Parkinson's disease with dyskinesia, with fluctuations (this code)
• G20.C Parkinsonism, unspecified