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Home/Diagnosis/ICD-10 Coding for General Weakness

ICD-10 Coding for General Weakness

R53.1
M62.81
G81.90

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

Also Known as:
Muscle Weakness
Fatigue
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Key Information: ICD-10 Coding for General Weakness

Essential facts and insights about ICD-10 Coding for General Weakness

Use ICD-10 code R53.1 for weakness, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Weakness

Billable Code
R53.1
Billable

Diagnostic Criteria

  • • No specific cause identified for weakness.

Applicable To

  • • Generalized weakness without identified etiology

Important Notes

  • • Ensure documentation specifies generalized weakness without identified etiology.

Muscle weakness (generalized)

Billable Code
M62.81
Billable

Diagnostic Criteria

  • • Manual muscle testing shows 4/5 strength in ≥3 muscle groups
  • • Normal neuroimaging (CT/MRI brain)

Applicable To

  • • Generalized muscle weakness

Important Notes

  • • Avoid using as primary diagnosis if a more specific cause is identified.

Hemiplegia, unspecified

Billable Code
G81.90
Billable

Diagnostic Criteria

  • • CT/MRI showing old infarct
  • • Documentation of laterality

Applicable To

  • • Post-stroke hemiparesis

Important Notes

  • • Ensure documentation specifies the affected side.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z00.1

General examination

Use for routine examination when weakness is noted.

G72.9

Myopathy, unspecified

Use when myopathy is suspected but not confirmed.

I63.9

Cerebral infarction, unspecified

Use to specify the stroke event.

Frequently Asked Questions

What is the ICD-10 code for general weakness?

The ICD-10 code for general weakness is R53.1, used when the cause of weakness is not identified.

How to document generalized weakness?

Document generalized weakness by specifying the duration, severity, and results of diagnostic tests, ensuring no specific cause is identified.

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