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v1.0.0
ICD-10 Guide
ICD-10 CodesR29.5

R29.5

Transient paralysis

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 R29.5 is a billable code used to indicate a diagnosis of transient paralysis.

Key Diagnostic Point:

Transient paralysis refers to a temporary loss of motor function in a specific area of the body, which can occur due to various underlying conditions. This phenomenon is often characterized by sudden onset and can last from a few minutes to several hours. Patients may experience weakness or inability to move a limb or other body parts, which can be alarming and may mimic more serious conditions such as stroke or seizure. Common causes of transient paralysis include transient ischemic attacks (TIAs), migraine-associated weakness, and certain neurological disorders. Clinical evaluation often involves a thorough history and physical examination, neurological assessments, and may include imaging studies such as CT or MRI to rule out structural causes. Laboratory tests may also be performed to assess metabolic or infectious causes. Accurate diagnosis is crucial, as transient paralysis can be a sign of underlying serious conditions that require immediate intervention.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential underlying causes
  • Need for differential diagnosis to rule out serious conditions
  • Variability in symptom presentation
  • Potential overlap with other neurological codes

Audit Risk Factors

  • Inadequate documentation of the transient nature of paralysis
  • Failure to specify the affected body part
  • Misclassification with permanent paralysis codes
  • Lack of supporting diagnostic tests

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed history of the episode, including duration, associated symptoms, and any precipitating factors.

Common Clinical Scenarios

Patients presenting with sudden weakness after a migraine or transient ischemic attack.

Billing Considerations

Ensure that the transient nature is clearly documented to avoid confusion with chronic conditions.

Emergency Medicine

Documentation Requirements

Immediate assessment findings, including neurological exam results and any imaging or lab tests performed.

Common Clinical Scenarios

Acute presentations of weakness in patients with a history of TIAs or stroke.

Billing Considerations

Rapid documentation is crucial; ensure all findings are recorded promptly to support the diagnosis.

Coding Guidelines

Inclusion Criteria

Use R29.5 When
  • Follow official ICD
  • CM guidelines for coding symptoms and signs
  • Ensure that the transient nature of the paralysis is documented and that any underlying conditions are also coded appropriately

Exclusion Criteria

Do NOT use R29.5 When
No specific exclusions found.

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

Used when a patient presents with transient paralysis in the emergency department.

Documentation Requirements

Document the history, examination findings, and any tests performed.

Specialty Considerations

Emergency medicine providers should ensure rapid and thorough documentation.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of transient paralysis, improving the ability to capture the nuances of this condition and its underlying causes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of transient paralysis, improving the ability to capture the nuances of this condition and its underlying causes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of transient paralysis, improving the ability to capture the nuances of this condition and its underlying causes.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between transient paralysis and permanent paralysis?

Transient paralysis is temporary and resolves on its own, while permanent paralysis is a lasting condition that results from irreversible damage to the nervous system.