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Home/Diagnosis/ICD-10 Coding for Functional Decline

ICD-10 Coding for Functional Decline

R53.81
Z74.01

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

Also Known as:
Debility
Reduced Mobility
Physical Decline
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Key Information: ICD-10 Coding for Functional Decline

Essential facts and insights about ICD-10 Coding for Functional Decline

Use ICD-10 code R53.81 for other malaise and fatigue, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Other malaise and fatigue

Billable Code
R53.81
Billable

Diagnostic Criteria

clinical:
  • • Patient exhibits significant reduction in physical activity or mobility.
documentation:
  • • Objective measures such as PPS or KPS scores are documented.

Applicable To

  • • Debility
  • • Decline

Important Notes

  • • Ensure documentation supports the use of R53.81 by including objective measures of decline.

Bed confinement status

Billable Code
Z74.01
Billable

Diagnostic Criteria

clinical:
  • • Documentation of complete bedbound status
  • • Objective assessment confirming inability to ambulate

Applicable To

  • • Bedbound status

Important Notes

  • • Ensure that the patient's bedbound status is clearly documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z74.01

Bed confinement status

Use when the patient is completely bedbound as a result of functional decline.

Frequently Asked Questions

What is the ICD-10 code for functional decline?

The ICD-10 code for functional decline is R53.81, which covers debility and decline. It is used when documenting general functional decline without a specific underlying condition.

How should functional decline be documented?

Functional decline should be documented with objective measures such as PPS or KPS scores, and specific changes in ADLs. This ensures accurate coding and billing.

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