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G45.9 vs R29.5

G45.9 (Transient cerebral ischemic attack, unspecified) compared with R29.5 (Transient paralysis), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. R29.5 carries an Excludes1 note covering G45.9: “transient ischemic attack (G45.9)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

G45.9Transient cerebral ischemic attack, unspecifiedR29.5Transient paralysis
Billing statusBillableBillable
ClassificationG00-G99 — Diseases of the Nervous System (G00-G99)R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99)
DefinitionTransient cerebral ischemic attack, unspecified is a billable ICD-10-CM diagnosis code (G45.9).Transient paralysis is a billable ICD-10-CM diagnosis code (R29.5).
Includes
Spasm of cerebral artery
TIA
Transient cerebral ischemia NOS
Code first
any associated spinal cord injury (S14.0, S14.1-, S24.0, S24.1-, S34.0-, S34.1-)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources