Parkinson's disease with dyskinesia, with fluctuations

This code describes Parkinson's disease where the patient experiences involuntary, erratic movements (dyskinesia) as a complication of their condition or its treatment. These dyskinesias are characterized by fluctuations, meaning they vary in severity and presentation throughout the day, often correlating with medication cycles (e.g., "on-off" phenomena).

Use this code when documentation clearly specifies Parkinson's disease accompanied by dyskinesia that exhibits fluctuating patterns. This often occurs in advanced stages of Parkinson's, particularly in response to long-term levodopa therapy. Physician notes should explicitly mention both dyskinesia and its fluctuating nature.

• Ensure documentation differentiates between dyskinesia and other motor complications like dystonia or tremor.
• Do not use this code if dyskinesia is present but without documented fluctuations.
• Consider sequencing with codes for specific manifestations or complications of Parkinson's disease if applicable.