ICD-10-CM 2027
ICD-10 code for spasm
From the official ICD-10-CM alphabetic index entry “Spasm (s), spastic, spasticity”. Page updated September 29, 2026.
About coding spasm
The ICD-10-CM code for spasm is R25.2 (Cramp and spasm). The official index lists 87 more specific codes, so check the documentation for details such as type, cause, site or severity before settling on R25.2.
Within R25 (abnormal involuntary movements), R25.2 is specifically for cramp and spasm. Related codes cover abnormal head movements (R25.0), tremor, unspecified (R25.1), Fasciculation (R25.3), other abnormal involuntary movements (R25.8) and unspecified abnormal involuntary movements (R25.9).
The conditions in its Excludes2 note aren't part of R25.2, but may be coded alongside it if the patient has both: carpopedal spasm (R29.0), charley-horse (M62.831), infantile spasms (G40.4-), muscle spasm of back (M62.830) and 1 more.
It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.
More specific spasm codes (official index)
- accommodation
- ampulla of Vater K83.4 — Spasm of sphincter of Oddi
- anus, ani (sphincter) (reflex) K59.4 — Anal spasm
- psychogenic F45.8 — Other somatoform disorders
- artery I73.9 — Peripheral vascular disease, unspecified
- cerebral G45.9 — Transient cerebral ischemic attack, unspecified
- Bell's G51.3 — Clonic hemifacial spasm
- bladder (sphincter, external or internal) N32.89 — Other specified disorders of bladder
- psychogenic F45.8 — Other somatoform disorders
- bronchus, bronchiole J98.01 — Acute bronchospasm
- cardia K22.0 — Achalasia of cardia
- cardiac I20.1 — Angina pectoris with documented spasm
- carpopedal
- cerebral (arteries) (vascular) G45.9 — Transient cerebral ischemic attack, unspecified
- cervix, complicating delivery O62.4 — Hypertonic, incoordinate, and prolonged uterine contractions
- ciliary body (of accommodation)
- colon K58.9 — Irritable bowel syndrome, unspecified
- with diarrhea K58.0 — Irritable bowel syndrome with diarrhea
- psychogenic F45.8 — Other somatoform disorders
- common duct K83.8 — Other specified diseases of biliary tract
- compulsive
- conjugate H51.8 — Other specified disorders of binocular movement
- coronary (artery) I20.1 — Angina pectoris with documented spasm
- diaphragm (reflex) R06.6 — Hiccough
- epidemic B33.0 — Epidemic myalgia
- psychogenic F45.8 — Other somatoform disorders
- duodenum K59.89 — Other specified functional intestinal disorders
- epidemic diaphragmatic (transient) B33.0 — Epidemic myalgia
- esophagus (diffuse) K22.4 — Dyskinesia of esophagus
- psychogenic F45.8 — Other somatoform disorders
- facial G51.3 — Clonic hemifacial spasm
- fallopian tube N83.8 — Other noninflammatory disorders of ovary, fallopian tube and broad ligament
- gastrointestinal (tract) K31.89 — Other diseases of stomach and duodenum
- psychogenic F45.8 — Other somatoform disorders
- glottis J38.5 — Laryngeal spasm
- hysterical F44.4 — Conversion disorder with motor symptom or deficit
- psychogenic F45.8 — Other somatoform disorders
- conversion reaction F44.4 — Conversion disorder with motor symptom or deficit
- reflex through recurrent laryngeal nerve J38.5 — Laryngeal spasm
- habit
- heart I20.1 — Angina pectoris with documented spasm
- hemifacial (clonic) G51.3 — Clonic hemifacial spasm
- hourglass
- hysterical F44.4 — Conversion disorder with motor symptom or deficit
- infantile
- inferior oblique, eye H51.8 — Other specified disorders of binocular movement
- intestinal K58.9 — Irritable bowel syndrome, unspecified
- psychogenic F45.8 — Other somatoform disorders
- larynx, laryngeal J38.5 — Laryngeal spasm
- hysterical F44.4 — Conversion disorder with motor symptom or deficit
- psychogenic F45.8 — Other somatoform disorders
- conversion reaction F44.4 — Conversion disorder with motor symptom or deficit
- levator palpebrae superioris
- muscle NEC M62.838 — Other muscle spasm
- back M62.830 — Muscle spasm of back
- nerve, trigeminal G50.0 — Trigeminal neuralgia
- nervous F45.8 — Other somatoform disorders
- nodding F98.4 — Stereotyped movement disorders
- occupational F48.8 — Other specified nonpsychotic mental disorders
- oculogyric H51.8 — Other specified disorders of binocular movement
- psychogenic F45.8 — Other somatoform disorders
- of accommodation H52.53 — Spasm of accommodation
- ophthalmic artery
- perineal, female N94.89 — Other specified conditions associated with female genital organs and menstrual cycle
- peroneo-extensor
- pharynx (reflex) J39.2 — Other diseases of pharynx
- hysterical F45.8 — Other somatoform disorders
- psychogenic F45.8 — Other somatoform disorders
- psychogenic F45.8 — Other somatoform disorders
- pylorus NEC K31.3 — Pylorospasm, not elsewhere classified
- adult hypertrophic K31.89 — Other diseases of stomach and duodenum
- congenital Q40.0 — Congenital hypertrophic pyloric stenosis
- psychogenic F45.8 — Other somatoform disorders
- rectum (sphincter) K59.4 — Anal spasm
- psychogenic F45.8 — Other somatoform disorders
- retinal (artery)
- sigmoid K58.9 — Irritable bowel syndrome, unspecified
- psychogenic F45.8 — Other somatoform disorders
- sphincter of Oddi K83.4 — Spasm of sphincter of Oddi
- stomach K31.89 — Other diseases of stomach and duodenum
- neurotic F45.8 — Other somatoform disorders
- throat J39.2 — Other diseases of pharynx
- hysterical F45.8 — Other somatoform disorders
- psychogenic F45.8 — Other somatoform disorders
- tic F95.9 — Tic disorder, unspecified
- chronic F95.1 — Chronic motor or vocal tic disorder
- transient of childhood F95.0 — Transient tic disorder
- tongue K14.8 — Other diseases of tongue
- torsion (progressive) G24.1 — Genetic torsion dystonia
- trigeminal nerve
- ureter N13.5 — Crossing vessel and stricture of ureter without hydronephrosis
- urethra (sphincter) N35.919 — Unspecified urethral stricture, male, unspecified site
- uterus N85.8 — Other specified noninflammatory disorders of uterus
- complicating labor O62.4 — Hypertonic, incoordinate, and prolonged uterine contractions
- vagina N94.2 — Vaginismus
- psychogenic F52.5 — Vaginismus not due to a substance or known physiological condition
- vascular I73.9 — Peripheral vascular disease, unspecified
- vasomotor I73.9 — Peripheral vascular disease, unspecified
- vein NEC I87.8 — Other specified disorders of veins
- viscera
Common questions about spasm ICD-10 codes
What is the ICD-10 code for spasm?
- R25.2 — Cramp and spasm. More specific codes apply when the documentation supports them: K83.4, K59.4, F45.8, I73.9 and others below.
What is the ICD-10 code for ampulla of vater spasm?
- K83.4 — Spasm of sphincter of Oddi.
What is the ICD-10 code for artery spasm?
- I73.9 — Peripheral vascular disease, unspecified.
What is the ICD-10 code for bell's spasm?
- G51.3 — Clonic hemifacial spasm (header code; choose a more specific subcode).
What is the ICD-10 code for bladder spasm?
- N32.89 — Other specified disorders of bladder.
What is the ICD-10 code for cardia spasm?
- K22.0 — Achalasia of cardia.
What is the ICD-10 code for cardiac spasm?
- I20.1 — Angina pectoris with documented spasm.
Is R25.2 billable?
- Yes. R25.2 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can R25.2 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict R25.2 as a principal diagnosis.
Is R25.2 a CC or MCC?
- No. R25.2 is neither a CC nor an MCC under MS-DRG v44.0.