Other symptoms and signs involving the nervous and musculoskeletal systems
In Symptoms and signs involving the nervous and musculoskeletal systems (R25-R29), chapter 18: Symptoms, Signs and Abnormal Clinical and Laboratory Findings
57 billable codes under R29: 3 are a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.
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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)
All codes under R29
R29 can't be used on a claim. Pick a billable code below; grey headings group them.
- 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
R29 MS-DRGs
As the principal diagnosis, the billable codes under R29 group to these 12 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 951 Other Factors Influencing Health Status (43 of 57 codes)
- DRG 091 Other Disorders of Nervous System with MCC (10 of 57 codes)
- DRG 092 Other Disorders of Nervous System with CC (10 of 57 codes)
- DRG 093 Other Disorders of Nervous System without CC/MCC (10 of 57 codes)
- DRG 555 Signs and Symptoms of Musculoskeletal System and Connective Tissue with MCC (2 of 57 codes)
- DRG 556 Signs and Symptoms of Musculoskeletal System and Connective Tissue without MCC (2 of 57 codes)
- DRG 551 Medical Back Problems with MCC (1 of 57 codes)
- DRG 552 Medical Back Problems without MCC (1 of 57 codes)
- DRG 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC (1 of 57 codes)
- DRG 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes without MCC (1 of 57 codes)
- DRG 791 Prematurity with Major Problems (1 of 57 codes)
- DRG 793 Full Term Neonate with Major Problems (1 of 57 codes)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Neuromuscular Disorders
Neuromuscular disorders affect your neuromuscular system. They can cause problems with: These disorders can cause your muscles to become weak and waste away. You may also have symptoms such as spasms, twitching, and pain.
Read more about neuromuscular disorders on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.