Abnormality of gait

This code signifies a deviation from a normal, coordinated walking pattern. It encompasses a wide range of disturbances in the rhythm, balance, or coordination of ambulation, indicating an underlying neurological, musculoskeletal, or systemic issue affecting mobility.

Apply this code when documentation describes an observed or reported atypical manner of walking, such as ataxia, spastic gait, shuffling gait, or Trendelenburg gait, without a more specific diagnosis yet established. It is appropriate for initial evaluations or when the cause of the gait disturbance is still under investigation.

• Do not use this code if a more specific diagnosis explaining the gait abnormality (e.g., Parkinson's disease, hemiplegia) is documented.
• Consider sequencing this code as a secondary diagnosis if the primary reason for the encounter is treatment of the underlying cause.
• Ensure documentation clearly describes the type of gait abnormality observed to support medical necessity and potential further investigation.