R29.0 — Tetany
R29.0 is a billable, specific ICD-10-CM code for tetany. It is valid for submission on a claim.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Carpopedal spasm
Other codes that can never be billed with R29.0
These codes carry an Excludes1 note pointing at R29.0. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading R29.0 alone.
- E20Hypoparathyroidism
Risk adjustment
R29.0 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
R29.0 is named in 9 Medicare coverage policies — 9 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A54969Billing and Coding: Nerve Conduction Studies and Electromyography
- A56619Billing and Coding: Nerve Conduction Studies and Electromyography
- A57122Billing and Coding: Parathormone (Parathyroid Hormone)
- A57189Billing and Coding: Serum Magnesium
How R29.0 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 R29.0.
- Pseudotetany
- Tetany(due to)
- Diathesis›spasmophilic
- Syndrome›magnesium-deficiency
- Tetany›convulsions
- Tetany›hyperkinetic
- Tetany›pseudotetany
Related codes at this level
Codes that share R29. If R29.0 is not quite right, the correct code is usually one of these.
- 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
- R29.8Other symptoms and signs involving the nervous and musculoskeletal systems
- R29.9Unspecified symptoms and signs involving the nervous and musculoskeletal systems
Questions about R29.0
- Is R29.0 a billable ICD-10-CM code?
- Yes. R29.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does R29.0 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).
- What cannot be coded together with R29.0?
- R29.0 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.