R25.1
BillableTremor, unspecified
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is R25.1 an HCC code?
No. R25.1 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
R25.1 is the ICD-10-CM diagnosis code for tremor, unspecified. An involuntary shaking or trembling of the body or limbs without a specified cause. R25.1 sits in the ICD-10-CM chapter for symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (r00-r99), within the section covering symptoms and signs involving the nervous and musculoskeletal systems (r25-r29).
R25.1 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
Specify the location of tremor (hands, head, legs) and whether it occurs at rest or with movement if documented.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for R25.1 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Specify the location of tremor (hands, head, legs) and whether it occurs at rest or with movement if documented
- •Investigate underlying causes such as Parkinson's disease, essential tremor, or medication side effects