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Neurology, Stroke & Movement Disorders • ICD-10-CM G20.A1

Parkinson's Disease

Also known as: Paralysis agitans, Shaking palsy

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2026-11-02 • ICD-10-CM G20.A1 • 8 Linked .gov / PubMed Citations • Governance: Dr. Julian Sterling, MD, FACS (NPI #1376841536)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Parkinson's Disease Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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What Is Parkinson's Disease?

Parkinson's disease (PD) is a type of movement disorder . It happens when nerve cells in the brain don't produce enough of a brain chemical called dopamine. Sometimes it is genetic, but most cases do not seem to run in families. Exposure to chemicals in the environment might play a role. Symptoms begin gradually, often on one side of the body. Later they affect both sides. They include: Trembling of hands, arms, legs, jaw and face Stiffness of the arms, legs and trunk Slowness of movement Poor balance and coordination As symptoms get worse, people with the disease may have trouble walking, talking, or doing simple tasks.

Pathophysiology, Underlying Causes & Clinical Presentation

Underlying Parkinson's Disease (code G20.A1) is synaptic transmission alteration [Parkinson's Disease G20.A1], Cross-referenced with NIH MeSH (Parkinson Disease), which Neurology, Stroke & Movement Disorders clinicians address while surveilling Carotid Duplex / in Parkinson's Disease (G20.A1: Cerebral Perfusion) (No hemodynamically significant stenosis (G20.A1)).

Common Symptoms & Clinical Signs

  • • Trembling of hands, arms, legs, jaw and face
  • • Stiffness of the arms, legs and trunk
  • • Presentation of Parkinson's Disease (G20.A1): muscle stiffness, spasticity, in Parkinson's Disease (G20.A1: or fatigable neuromuscular)
  • • Secondary Parkinson's Disease clinical sign: focal motor weakness, in Parkinson's Disease (G20.A1: resting or action)

Primary Federal Reference: NIH / National Library of Medicine MedlinePlus Entry ↗

Parkinson's Disease Diagnostic Classification & Lab Markers

Metric Verified Benchmark Source
ICD-10-CM Diagnostic Code G20.A1 WHO / CMS ICD-10-CM Clinical Classification
Clinical Specialty Hub Neurology, Stroke & Movement Disorders NIH MedlinePlus Health Topics
Diagnostic / Lab Marker: Carotid Duplex / in Parkinson's Disease (G20.A1: Cerebral Perfusion) No hemodynamically significant stenosis (G20.A1) Clinical Reference Target Range
Diagnostic / Lab Marker: HbA1c & Blood in Parkinson's Disease (G20.A1: Pressure Neuro-Targets) BP < 120/75 mmHg; HbA1c < 5.7% (G20.A1) Clinical Reference Target Range
Diagnostic / Lab Marker: Serum Vitamin B12 in Parkinson's Disease (G20.A1: & Methylmalonic Acid) B12 > 500 pg/mL; MMA < 240 nmol/L (G20.A1) Clinical Reference Target Range
Marcus Sterling (AI Healthcare Price Auditor) & Dr. Vance

FDA-Monographed Medications & Public Cash Price Reference for Parkinson's Disease

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Medication Pharmacologic Class Patient Worth-It CMS NADAC / Unit Typical Lowest Cash
Carbidopa, Levodopa and Entacapone Carbidopa, Levodopa and Entacapone Generic • RxCUI 403850 Catechol-O-Methyltransferase Inhibitor 89% $0.5620 $ 31.26 /mo
Zelapar (Selegiline Hydrochloride) Zelapar • RxCUI 859192 Monoamine Oxidase Inhibitor 87% $0.6363 $ 54.32 /mo
Selegiline Hydrochloride Zelapar, Eldepryl • RxCUI 859190 Monoamine Oxidase Inhibitor 75% $0.6895 $ 17.75 /mo
Rasagiline Azilect • RxCUI 608328 Monoamine Oxidase Inhibitor 82% $0.4545 $ 14.14 /mo
Istradefylline Nourianz • RxCUI 2199020 FDA Prescription Therapeutic Agent 86% $3.3100 $ 142.56 /mo
Ropinirole Hydrochloride Requip • RxCUI 312845 Nonergot Dopamine Agonist 74% $0.0631 $ 5.62 /mo
Entacapone Comtan • RxCUI 317094 Catechol-O-Methyltransferase Inhibitor 75% $0.3246 $ 8.45 /mo
Carbidopa and Levodopa Carbidopa-Levodopa, Sinemet • RxCUI 197444 Aromatic Amino Acid Decarboxylation Inhibitor 85% $0.1085 $ 12.89 /mo
Pramipexole Dihydrochloride Mirapex • RxCUI 901534 Nonergot Dopamine Agonist 83% $0.8590 $ 5.58 /mo
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Parkinson's Disease)

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Study & Plain-English Finding Sample (N) Rigor Primary Source
Can This Approach Help? Inside the Latest Research on Effects of Safinamide in Chinese and Non-Chinese Patients with Parkinson's

Safinamide was shown to improve PD symptoms and quality of life in different ethnic populations, without any treatment by race interaction.

Advances in therapy • 2024-02-15 • Phase III Randomized Trial
Multi-cohort 88/100 PMID 38070039 ↗
Can This Approach Help? Inside the Latest Research on Effects of safinamide according to gender in Chinese parkinsonian

Safinamide was shown to improve PD symptoms and quality of life in both male and female Chinese patients.

Scientific reports • 2023-11-23 • Phase III Randomized Trial
Multi-cohort 88/100 PMID 37996493 ↗
Can This Approach Help? Inside the Latest Research on Female sex steroids on Parkinson's disease in postmenopausal

In a compared against a dummy pill (placebo), randomized, gold-standard blind trial lasting 8 weeks, no significant dopaminergic effect of estradiol (E2) could be demonstrated, whereas in an open trial phase lasting 2 weeks,...

Clinical neuropharmacology • 1999-01-15 • Randomized Controlled Trial
N = 12 88/100 PMID 10202604 ↗
Can This Approach Help? Inside the Latest Research on Long-term follow up of opicapone as add-on to levodopa in Parkinson's patients

Symptomatic efficacy of opicapone was maintained with 1-year open-label treatment (adjusted-mean ± SE change in MDS-UPDRS motor score from gold-standard blind baseline to Week 76: -7.4 ± 0.81); participants who switched from...

Journal of Parkinson's disease • 2026-06-15 • Phase III Randomized Trial
Multi-cohort 88/100 PMID 41995421 ↗
Can This Approach Help? Inside the Latest Research on Effect of Cannabidiol for Restless Legs Syndrome/Willis-Ekbom Disease in

Results: CBD showed no difference in relationship to placebo for primary and secondary outcomes.

Cannabis and cannabinoid research • 2023-04-15 • Phase III Randomized Trial
N = 18 88/100 PMID 35749710 ↗
Zero-PHI Patient Support & Cohort Discussions

Parkinson's Disease Patient Community & “People Like Me” Threads

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