ICD-10-CM Code R25.2

Cramp and spasm

Version 2020 Billable Code No Valid Principal Dx

Valid for Submission

R25.2 is a billable code used to specify a medical diagnosis of cramp and spasm. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code R25.2 might also be used to specify conditions or terms like acanthosis nigricans, acanthosis nigricans and insulin resistance with muscle cramp and acral enlargement syndrome, benign fasciculation-cramp syndrome, bilateral cramp of muscle of lower limbs, bilateral muscle cramp of upper limbs, bowel spasm, etc

According to ICD-10-CM guidelines this code should not to be used as a principal diagnosis code when a related definitive diagnosis has been established.

Short Description:Cramp and spasm
Long Description:Cramp and spasm

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code R25.2:

Type 2 Excludes

Type 2 Excludes
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code R25.2 are found in the index:


The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Acanthosis nigricans
  • Acanthosis nigricans and insulin resistance with muscle cramp and acral enlargement syndrome
  • Benign fasciculation-cramp syndrome
  • Bilateral cramp of muscle of lower limbs
  • Bilateral muscle cramp of upper limbs
  • Bowel spasm
  • Carney complex, trismus, pseudocamptodactyly syndrome
  • Clasp knife like increase in tone
  • Congenital hypoplasia of cerebrum
  • Cramp
  • Cramp in calf
  • Cramp in foot
  • Cramp in limb
  • Cramp in lower leg
  • Cramp in lower limb
  • Cramp of muscle of left lower limb
  • Cramp of muscle of left upper limb
  • Cramp of muscle of right lower limb
  • Cramp of muscle of right upper limb
  • Diffuse spasm
  • Disorders of spinal neurones manifest by hyperactivity
  • Early-onset progressive neurodegeneration, blindness, ataxia, spasticity syndrome
  • Hand cramps
  • Hereditary angiopathy with nephropathy, aneurysms, and muscle cramps syndrome
  • Hypernatremia
  • Hypomyelination with brain stem and spinal cord involvement and leg spasticity
  • Hypoplasia of corpus callosum
  • Insulin receptor defect
  • L1 syndrome
  • Local spasm
  • Masseter spasm
  • Microcephalus, brain defect, spasticity, hypernatremia syndrome
  • Muscular hypertonicity
  • Myoclonic encephalopathy
  • Myxoma of heart
  • Nocturnal muscle cramp
  • Nocturnal muscle spasm
  • O/E - muscle rigid-clasp knife
  • O/E - muscle tone
  • O/E - opisthotonos
  • O/E - spasm/tic
  • Opisthotonus
  • Spasm
  • Spasmodic movement
  • Spastic foot
  • Spasticity
  • Spasticity as sequela of stroke
  • Symptomatic generalized epilepsy
  • Tetanus with trismus
  • Trismus
  • Trismus present
  • X-linked parkinsonism with spasticity syndrome
  • X-linked spasticity, intellectual disability, epilepsy syndrome

Convert R25.2 to ICD-9

  • 729.82 - Cramp in limb (Approximate Flag)
  • 781.0 - Abn involun movement NEC (Approximate Flag)

Code Classification

  • Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00–R99)
    • Symptoms and signs involving the nervous and musculoskeletal systems (R25-R29)
      • Abnormal involuntary movements (R25)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients

Muscle Cramps

What are muscle cramps?

Muscle cramps are sudden, involuntary contractions or spasms in one or more of your muscles. They are very common and often occur after exercise. Some people get muscle cramps, especially leg cramps, at night. They can be painful, and they may last a few seconds to several minutes.

You can have a cramp in any muscle, but they happen most often in the

  • Thighs
  • Feet
  • Hands
  • Arms
  • Abdomen
  • Area along your ribcage

What causes muscle cramps?

Causes of muscle cramps include:

  • Straining or overusing a muscle. This is the most common cause.
  • Compression of your nerves, from problems such as a spinal cord injury or a pinched nerve in the neck or back
  • Dehydration
  • Low levels of electrolytes such as magnesium, potassium, or calcium
  • Not enough blood getting to your muscles
  • Pregnancy
  • Certain medicines
  • Getting dialysis

Sometimes the cause is not known.

Who is at risk for muscle cramps?

Anyone can get muscle cramps, but they are more common in some people:

  • Older adults
  • People who are overweight
  • Athletes
  • Pregnant women
  • People with certain medical conditions, such as thyroid and nerve disorders

When do I need to see a health care provider about muscle cramps?

Muscle cramps are usually harmless, and they go away after a few minutes. But you should contact your health care provider if the cramps

  • Are severe
  • Happen frequently
  • Don't get better with stretching and drinking enough fluids
  • Last a long time
  • Are accompanied by swelling, redness, or a feeling of warmth
  • Are accompanied by muscle weakness

What are the treatments for muscle cramps?

You usually don't need treatment for muscle cramps. You may be able to find some relief from cramps by

  • Stretching or gently massaging the muscle
  • Applying heat when the muscle is tight and ice when the muscle is sore
  • Getting more fluids if you are dehydrated

If another medical problem is causing the cramps, treating that problem will likely help. There are medicines that providers sometimes prescribe to prevent cramps, but they are not always effective and may cause side effects. Talk to your provider about the risks and benefits of medicines.

Can muscle cramps be prevented?

To prevent muscle cramps, you can

  • Stretch your muscles, especially before exercising. If you often get leg cramps at night, stretch your leg muscles before bed.
  • Drink plenty of liquids. If you do intense exercise or exercise in the heat, sports drinks can help you replace electrolytes.

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