Symptoms and signs involving the nervous and musculoskeletal systems (R25-R29)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Covers when to report symptom, sign, and abnormal finding codes (R00-R99), plus specific rules for falls, coma scales, non-infectious SIRS, death NOS, and NIHSS scores.

• Use of symptom codes (page 75)
• Use of a symptom code with a definitive diagnosis code (page 75)
• Combination codes that include symptoms (page 75)
• Repeated falls (page 76)
• Coma (page 76)
• Functional quadriplegia (page 76)
• SIRS due to Non-Infectious Process (page 77)
• Death NOS (page 77)

Read Section I.C.18 (page 75), 1 more topics

All codes under R25-R29

R25-R29 can't be used on a claim. Pick a billable code below; grey headings group them.

• R25Abnormal involuntary movements
• R25.0Abnormal head movements
• R25.1Tremor, unspecified
• R25.2Cramp and spasm
• R25.3Fasciculation
• R25.8Other abnormal involuntary movements
• R25.9Unspecified abnormal involuntary movements
• R26Abnormalities of gait and mobility
• R26.0Ataxic gait
• R26.1Paralytic gait
• R26.2Difficulty in walking, not elsewhere classified
• R26.8Other abnormalities of gait and mobility
• R26.81Unsteadiness on feet
• R26.89Other abnormalities of gait and mobility
• R26.9Unspecified abnormalities of gait and mobility
• R27Other lack of coordination
• R27.0Ataxia, unspecified
• R27.8Other lack of coordination
• R27.9Unspecified lack of coordination
• R29Other symptoms and signs involving the nervous and musculoskeletal systems
• R29.0Tetany
• R29.1Meningismus
• R29.2Abnormal reflex
• R29.3Abnormal posture
• R29.4Clicking hip
• R29.5Transient paralysis
• R29.6Repeated falls
• R29.7National Institutes of Health Stroke Scale (NIHSS) score
• R29.70NIHSS score 0-9
• R29.700NIHSS score 0
• R29.701NIHSS score 1
• R29.702NIHSS score 2
• R29.703NIHSS score 3
• R29.704NIHSS score 4
• R29.705NIHSS score 5
• R29.706NIHSS score 6
• R29.707NIHSS score 7
• R29.708NIHSS score 8
• R29.709NIHSS score 9
• R29.71NIHSS score 10-19
• R29.710NIHSS score 10
• R29.711NIHSS score 11
• R29.712NIHSS score 12
• R29.713NIHSS score 13
• R29.714NIHSS score 14
• R29.715NIHSS score 15
• R29.716NIHSS score 16
• R29.717NIHSS score 17
• R29.718NIHSS score 18
• R29.719NIHSS score 19
• R29.72NIHSS score 20-29
• R29.720NIHSS score 20
• R29.721NIHSS score 21
• R29.722NIHSS score 22
• R29.723NIHSS score 23
• R29.724NIHSS score 24
• R29.725NIHSS score 25
• R29.726NIHSS score 26
• R29.727NIHSS score 27
• R29.728NIHSS score 28
• R29.729NIHSS score 29
• R29.73NIHSS score 30-39
• R29.730NIHSS score 30
• R29.731NIHSS score 31
• R29.732NIHSS score 32
• R29.733NIHSS score 33
• R29.734NIHSS score 34
• R29.735NIHSS score 35
• R29.736NIHSS score 36
• R29.737NIHSS score 37
• R29.738NIHSS score 38
• R29.739NIHSS score 39
• R29.74NIHSS score 40-42
• R29.740NIHSS score 40
• R29.741NIHSS score 41
• R29.742NIHSS score 42
• R29.8Other symptoms and signs involving the nervous and musculoskeletal systems
• R29.81Other symptoms and signs involving the nervous system
• R29.810Facial weakness
• R29.818Other symptoms and signs involving the nervous system
• R29.89Other symptoms and signs involving the musculoskeletal system
• R29.890Loss of height
• R29.891Ocular torticollis
• R29.898Other symptoms and signs involving the musculoskeletal system
• R29.9Unspecified symptoms and signs involving the nervous and musculoskeletal systems
• R29.90Unspecified symptoms and signs involving the nervous system
• R29.91Unspecified symptoms and signs involving the musculoskeletal system

R25-R29 MS-DRGs

This code does not group to an MS-DRG as a principal diagnosis.

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.