R29.5 — Transient paralysis
R29.5 is a billable, specific ICD-10-CM code for transient paralysis. 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.
- transient ischemic attack (G45.9)
Code first
The underlying condition must be sequenced before this code.
Risk adjustment
R29.5 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
R29.5 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.
- A52992Billing and Coding: Non-Invasive Cerebrovascular Arterial Studies
- A52992Billing and Coding: Non-Invasive Cerebrovascular Arterial Studies
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
How R29.5 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 R29.5.
- Paralysis, paralytic›transient
Related codes at this level
Codes that share R29. If R29.5 is not quite right, the correct code is usually one of these.
- R29.0Tetany
- R29.1Meningismus
- R29.2Abnormal reflex
- R29.3Abnormal posture
- R29.4Clicking hip
- 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 R29.5
- Is R29.5 a billable ICD-10-CM code?
- Yes. R29.5 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does R29.5 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 R29.5?
- R29.5 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.