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Home/Diagnosis/ICD-10 Coding for Fatigue

ICD-10 Coding for Fatigue

R53.0
R53.1
R53.2

Complete ICD-10-CM coding and documentation guide for icd-10 coding for fatigue includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Tiredness
Exhaustion
Lethargy
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Key Information: ICD-10 Coding for Fatigue

Essential facts and insights about ICD-10 Coding for Fatigue

Use ICD-10 code R53.0 for neoplastic (malignant) related fatigue, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Neoplastic (malignant) related fatigue

Billable Code
R53.0
Billable

Diagnostic Criteria

  • • Fatigue is directly related to a diagnosed neoplasm.

Applicable To

  • • Fatigue due to cancer

Important Notes

  • • Ensure the neoplasm is coded as the primary condition.

Weakness

Billable Code
R53.1
Billable

Diagnostic Criteria

  • • Use when weakness is the primary symptom, not fatigue.

Applicable To

  • • Generalized weakness

Important Notes

  • • Differentiate between weakness and fatigue.

Functional quadriplegia

Billable Code
R53.2
Billable

Diagnostic Criteria

  • • Use for quadriplegia due to functional, not paralytic, causes.

Applicable To

  • • Quadriplegia due to functional causes

Important Notes

  • • Ensure functional cause is documented.

Other malaise

Billable Code
R53.81
Billable

Diagnostic Criteria

  • • Use when malaise is the primary symptom, not fatigue.

Applicable To

  • • General malaise

Important Notes

  • • Differentiate between malaise and fatigue.

Chronic fatigue, unspecified

Billable Code
R53.82
Billable

Diagnostic Criteria

  • • Use when chronic fatigue is present but does not meet ME/CFS criteria.

Applicable To

  • • Chronic fatigue not meeting ME/CFS criteria

Important Notes

  • • Ensure ME/CFS criteria are not met before using this code.

Other fatigue

Billable Code
R53.83
Billable

Diagnostic Criteria

  • • Use when fatigue is present but not chronic or linked to a specific condition.

Applicable To

  • • Fatigue not otherwise specified

Important Notes

  • • Ensure other causes are ruled out.

Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS)

Billable Code
G93.32
Billable

Diagnostic Criteria

  • • Use when ME/CFS criteria are met.

Applicable To

  • • Chronic fatigue syndrome

Important Notes

  • • Ensure full documentation of ME/CFS criteria.
Frequently Asked Questions

What is the ICD-10 code for chronic fatigue syndrome?

The ICD-10 code for chronic fatigue syndrome, also known as ME/CFS, is G93.32. This code should be used when the condition meets CDC criteria, including post-exertional malaise and cognitive impairment.

How do you code fatigue due to cancer?

For fatigue due to cancer, use R53.0 as an ancillary code, with the primary code being the specific cancer diagnosis.

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