ICD-10 · PDGM grouping
R25-R29 — Symptoms and signs involving the nervous and musculoskeletal systems
Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.2.26.
Codes in range
72
No clinical group
72
A period cannot be grouped from these.
Barred as primary
43
CMS rejects these in the primary position.
Where these codes group
None of the 72 codes in R25-R29 is assigned a PDGM clinical group. A 30-day period cannot be grouped from any of them, so none can hold the primary position on a home health claim.
Code families in R25-R29
One page per three-character family: every code in it, whether it can lead a claim, its clinical group and comorbidity subgroup.
Every code in R25-R29
Descriptions are CMS’s own, abbreviated as CMS abbreviates them.
| Code | Description | Clinical group | Primary position |
|---|---|---|---|
| R250 | Abnormal head movements | None | Cannot lead a claim |
| R251 | Tremor, unspecified | None | Cannot lead a claim |
| R252 | Cramp and spasm | None | Cannot lead a claim |
| R253 | Fasciculation | None | Cannot lead a claim |
| R258 | Other abnormal involuntary movements | None | Cannot lead a claim |
| R259 | Unspecified abnormal involuntary movements | None | Cannot lead a claim |
| R260 | Ataxic gait | None | Cannot lead a claim |
| R261 | Paralytic gait | None | Cannot lead a claim |
| R262 | Difficulty in walking, not elsewhere classified | None | Cannot lead a claim |
| R2681 | Unsteadiness on feet | None | Cannot lead a claim |
| R2689 | Other abnormalities of gait and mobility | None | Cannot lead a claim |
| R269 | Unspecified abnormalities of gait and mobility | None | Cannot lead a claim |
| R270 | Ataxia, unspecified | None | Cannot lead a claim |
| R278 | Other lack of coordination | None | Cannot lead a claim |
| R279 | Unspecified lack of coordination | None | Cannot lead a claim |
| R290 | Tetany | None | Cannot lead a claim |
| R291 | Meningismus | None | Cannot lead a claim |
| R292 | Abnormal reflex | None | Cannot lead a claim |
| R293 | Abnormal posture | None | Cannot lead a claim |
| R294 | Clicking hip | None | Cannot lead a claim |
| R295 | Transient paralysis | None | Cannot lead a claim |
| R296 | Repeated falls | None | Cannot lead a claim |
| R29700 | NIHSS score 0 | None | Cannot lead a claim |
| R29701 | NIHSS score 1 | None | Cannot lead a claim |
| R29702 | NIHSS score 2 | None | Cannot lead a claim |
| R29703 | NIHSS score 3 | None | Cannot lead a claim |
| R29704 | NIHSS score 4 | None | Cannot lead a claim |
| R29705 | NIHSS score 5 | None | Cannot lead a claim |
| R29706 | NIHSS score 6 | None | Cannot lead a claim |
| R29707 | NIHSS score 7 | None | Cannot lead a claim |
| R29708 | NIHSS score 8 | None | Cannot lead a claim |
| R29709 | NIHSS score 9 | None | Cannot lead a claim |
| R29710 | NIHSS score 10 | None | Cannot lead a claim |
| R29711 | NIHSS score 11 | None | Cannot lead a claim |
| R29712 | NIHSS score 12 | None | Cannot lead a claim |
| R29713 | NIHSS score 13 | None | Cannot lead a claim |
| R29714 | NIHSS score 14 | None | Cannot lead a claim |
| R29715 | NIHSS score 15 | None | Cannot lead a claim |
| R29716 | NIHSS score 16 | None | Cannot lead a claim |
| R29717 | NIHSS score 17 | None | Cannot lead a claim |
| R29718 | NIHSS score 18 | None | Cannot lead a claim |
| R29719 | NIHSS score 19 | None | Cannot lead a claim |
| R29720 | NIHSS score 20 | None | Cannot lead a claim |
| R29721 | NIHSS score 21 | None | Cannot lead a claim |
| R29722 | NIHSS score 22 | None | Cannot lead a claim |
| R29723 | NIHSS score 23 | None | Cannot lead a claim |
| R29724 | NIHSS score 24 | None | Cannot lead a claim |
| R29725 | NIHSS score 25 | None | Cannot lead a claim |
| R29726 | NIHSS score 26 | None | Cannot lead a claim |
| R29727 | NIHSS score 27 | None | Cannot lead a claim |
| R29728 | NIHSS score 28 | None | Cannot lead a claim |
| R29729 | NIHSS score 29 | None | Cannot lead a claim |
| R29730 | NIHSS score 30 | None | Cannot lead a claim |
| R29731 | NIHSS score 31 | None | Cannot lead a claim |
| R29732 | NIHSS score 32 | None | Cannot lead a claim |
| R29733 | NIHSS score 33 | None | Cannot lead a claim |
| R29734 | NIHSS score 34 | None | Cannot lead a claim |
| R29735 | NIHSS score 35 | None | Cannot lead a claim |
| R29736 | NIHSS score 36 | None | Cannot lead a claim |
| R29737 | NIHSS score 37 | None | Cannot lead a claim |
| R29738 | NIHSS score 38 | None | Cannot lead a claim |
| R29739 | NIHSS score 39 | None | Cannot lead a claim |
| R29740 | NIHSS score 40 | None | Cannot lead a claim |
| R29741 | NIHSS score 41 | None | Cannot lead a claim |
| R29742 | NIHSS score 42 | None | Cannot lead a claim |
| R29810 | Facial weakness | None | Cannot lead a claim |
| R29818 | Other symptoms and signs involving the nervous system | None | Cannot lead a claim |
| R29890 | Loss of height | None | Cannot lead a claim |
| R29891 | Ocular torticollis | None | Cannot lead a claim |
| R29898 | Oth symptoms and signs involving the musculoskeletal system | None | Cannot lead a claim |
| R2990 | Unspecified symptoms and signs involving the nervous system | None | Cannot lead a claim |
| R2991 | Unsp symptoms and signs involving the musculoskeletal system | None | Cannot lead a claim |
Source: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01. 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.
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