M62.831 vs R25.2
M62.831 (Muscle spasm of calf) compared with R25.2 (Cramp and spasm), 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. M62.831 carries an Excludes1 note covering R25.2: “cramp and spasm (R25.2)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Yes, when both are documented. R25.2 carries an Excludes2 note covering M62.831: “charley-horse (M62.831)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Yes, when both are documented. R25.2 carries an Excludes2 note covering M62.831: “muscle spasm of calf (M62.831)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| M62.831Muscle spasm of calf | R25.2Cramp and spasm | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | M00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99) | R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99) |
| Definition | Muscle spasm of calf is a billable ICD-10-CM diagnosis code (M62.831). | Cramp and spasm is a billable ICD-10-CM diagnosis code (R25.2). |
| Includes | Charley-horse | — |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources