October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

R29 Other symptoms and signs involving the nervous and musculoskeletal systems

All 57 codes in the R29 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

57

Can lead a claim

0

Cannot lead a claim

57

What CMS assigns to R29

None of the 57 codes is assigned a clinical group. None of the 57 is assigned a comorbidity subgroup. None can lead a claim. CMS attaches a code-first note to 44 of the 57.

Code first

CMS grouper convention 155, on R29.5. Code first:

  • any associated spinal cord injury (S14.0, S14.1-, S24.0, S24.1-, S34.0-, S34.1-)

CMS grouper convention 156, on R29.700, R29.701, R29.702, R29.703, R29.704, R29.705, R29.706, R29.707, R29.708, R29.709, R29.710, R29.711, R29.712, R29.713, R29.714, R29.715, R29.716, R29.717, R29.718, R29.719, R29.720, R29.721, R29.722, R29.723, R29.724, R29.725, R29.726, R29.727, R29.728, R29.729, R29.730, R29.731, R29.732, R29.733, R29.734, R29.735, R29.736, R29.737, R29.738, R29.739, R29.740, R29.741, R29.742. Code first:

  • the type of cerebral infarction (I60.-, I61.-, I62.-, I63.-)

Every code in R29

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
R29.0TetanyCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R29.1MeningismusCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R29.2Abnormal reflexCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R29.3Abnormal postureCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R29.4Clicking hipCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R29.5Transient paralysisCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R29.6Repeated fallsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R29.7 National Institutes of Health Stroke Scale (NIHSS) score
R29.70 NIHSS score 0-9
R29.700NIHSS score 0Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
R29.701NIHSS score 1Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
R29.702NIHSS score 2Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
R29.703NIHSS score 3Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
R29.704NIHSS score 4Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
R29.705NIHSS score 5Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
R29.706NIHSS score 6Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
R29.707NIHSS score 7Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
R29.708NIHSS score 8Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
R29.709NIHSS score 9Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
R29.71 NIHSS score 10-19
R29.710NIHSS score 10Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
R29.711NIHSS score 11Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
R29.712NIHSS score 12Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
R29.713NIHSS score 13Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
R29.714NIHSS score 14Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
R29.715NIHSS score 15Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
R29.716NIHSS score 16Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
R29.717NIHSS score 17Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
R29.718NIHSS score 18Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
R29.719NIHSS score 19Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
R29.72 NIHSS score 20-29
R29.720NIHSS score 20Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
R29.721NIHSS score 21Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
R29.722NIHSS score 22Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
R29.723NIHSS score 23Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
R29.724NIHSS score 24Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
R29.725NIHSS score 25Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
R29.726NIHSS score 26Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
R29.727NIHSS score 27Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
R29.728NIHSS score 28Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
R29.729NIHSS score 29Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
R29.73 NIHSS score 30-39
R29.730NIHSS score 30Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
R29.731NIHSS score 31Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
R29.732NIHSS score 32Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
R29.733NIHSS score 33Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
R29.734NIHSS score 34Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
R29.735NIHSS score 35Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
R29.736NIHSS score 36Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
R29.737NIHSS score 37Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
R29.738NIHSS score 38Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
R29.739NIHSS score 39Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
R29.74 NIHSS score 40-42
R29.740NIHSS score 40Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
R29.741NIHSS score 41Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
R29.742NIHSS score 42Cannot lead a claimUnacceptable principal diagnosis, code is not reportable as principal diagnosisNoneNone
R29.8 Other symptoms and signs involving the nervous and musculoskeletal systems
R29.81 Other symptoms and signs involving the nervous system
R29.810Facial weaknessCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R29.818Other symptoms and signs involving the nervous systemCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R29.89 Other symptoms and signs involving the musculoskeletal system
R29.890Loss of heightCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R29.891Ocular torticollisCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R29.898Other symptoms and signs involving the musculoskeletal systemCMS: Oth symptoms and signs involving the musculoskeletal systemCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R29.9 Unspecified symptoms and signs involving the nervous and musculoskeletal systems
R29.90Unspecified symptoms and signs involving the nervous systemCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R29.91Unspecified symptoms and signs involving the musculoskeletal systemCMS: Unsp symptoms and signs involving the musculoskeletal systemCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

The monthly home health regs digest

What CMS changed, what's due next, and what to do about it — one email a month, no fluff. Read the first issue