R25.2
R25.2: Cramp and spasm
Billable / specific codeICD-10-CM
R25.2 is a billable, specific ICD-10-CM code for cramp and spasm. It is valid for submission on a claim.
Check R25.2 with the rest of the claim: free scrubberExcludes2: not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
Other codes that can never be billed with R25.2
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
R25.2 is named in 23 Medicare coverage policies: 23 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- 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
Alphabetic index entries that lead here
- Cramp(s)
- Hemispasm(facial)
- Spasm, spastic, spasticity(s)
- Trismus
- Cramp›limb NEC(lower) (upper)
- Cramp›muscle(limb) (general)
- Abnormal, abnormality, abnormalities›movement›involuntary›spasm
Code history
Unchanged in every release from FY2024 to FY2027.