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Home/Diagnosis/ICD-10 Coding for Frailty

ICD-10 Coding for Frailty

R54
R62.7
M62.84

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

Also Known as:
Age-related physical debility
Senile frailty
Functional decline
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Key Information: ICD-10 Coding for Frailty

Essential facts and insights about ICD-10 Coding for Frailty

Use ICD-10 code R54 for age-related physical debility, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Age-related physical debility

Billable Code
R54
Billable

Diagnostic Criteria

clinical:
  • • Age-related decline with functional limitations
documentation:
  • • Explicit mention of age-related debility

Applicable To

  • • Senile asthenia
  • • Senile debility

Important Notes

  • • Ensure documentation specifies age-related decline to justify R54.

Adult failure to thrive

Billable Code
R62.7
Billable

Diagnostic Criteria

clinical:
  • • Weight loss ≥5% in 6 months
  • • Functional decline in ADLs

Applicable To

  • • Significant weight loss
  • • Functional decline

Important Notes

  • • Ensure weight loss and functional decline are documented.

Sarcopenia

Billable Code
M62.84
Billable

Diagnostic Criteria

clinical:
  • • DEXA scan confirmation
  • • Reduced muscle mass and strength

Applicable To

  • • Muscle loss
  • • Age-related muscle wasting

Important Notes

  • • Confirm sarcopenia with imaging or biomarkers.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z91.81

History of falls

Use to document history of falls contributing to frailty.

R26.2

Difficulty walking

Use to document mobility issues related to frailty.

R63.4

Abnormal weight loss

Use to document significant weight loss associated with frailty.

Frequently Asked Questions

What is the ICD-10 code for frailty?

The primary ICD-10 code for frailty is R54, which denotes age-related physical debility. It is used when frailty is primarily due to aging without specific underlying conditions.

How do you document frailty for ICD-10 coding?

Document frailty by specifying age-related decline, functional limitations, and any significant weight loss. Use terms like 'age-related debility' to support the use of R54.

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