R29.2Abnormal reflex

R29.2 is the ICD-10-CM diagnosis code for abnormal reflex. It belongs to category R29 (other symptoms and signs involving the nervous and musculoskeletal systems), block R25-R29 (symptoms and signs involving the nervous and musculoskeletal systems) and chapter 18 (symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within R29 (other symptoms and signs involving the nervous and musculoskeletal systems), R29.2 is specifically for abnormal reflex. Related codes cover tetany (R29.0), Meningismus (R29.1), abnormal posture (R29.3), Clicking hip (R29.4), transient paralysis (R29.5), repeated falls (R29.6), National Institutes of Health Stroke Scale (NIHSS) score (R29.7), other symptoms and signs involving the nervous and musculoskeletal systems (R29.8) and 1 more.

The conditions in its Excludes2 note aren't part of R29.2, but may be coded alongside it if the patient has both: abnormal pupillary reflex (H57.0), hyperactive gag reflex (J39.2) and vasovagal reaction or syncope (R55).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 091 (Other Disorders of Nervous System with MCC, relative weight 1.7046), DRG 092 (Other Disorders of Nervous System with CC, relative weight 1.0239) and DRG 093 (Other Disorders of Nervous System without CC/MCC, relative weight 0.7783), in MDC 01 (Diseases and Disorders of the Nervous System), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 796.1 (abnormal reflex).