R25.2 — Cramp and spasm
R25.2 is a billable, specific ICD-10-CM code for cramp and spasm. It is valid for submission on a claim.
Other codes that can never be billed with R25.2
These codes carry an Excludes1 note pointing at R25.2. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading R25.2 alone.
- M62Other disorders of muscle
Risk adjustment
R25.2 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
R25.2 is named in 25 Medicare coverage policies — 25 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
How R25.2 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to R25.2.
- Cramp(s)
- Hemispasm(facial)
- Spasm, spastic, spasticity(s)
- Trismus
- Cramp›limb NEC(lower) (upper)
- Cramp›muscle(limb) (general)
- Abnormal, abnormality, abnormalities›movement›involuntary›spasm
Related codes at this level
Codes that share R25. If R25.2 is not quite right, the correct code is usually one of these.
Questions about R25.2
- Is R25.2 a billable ICD-10-CM code?
- Yes. R25.2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does R25.2 sit in the tabular list?
- Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Symptoms and signs involving the nervous and musculoskeletal systems (R25-R29).