Complete ICD-10-CM coding and documentation guide for icd-10 coding for weakness and fatigue includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Weakness and Fatigue
Use ICD-10 code R53.1 for weakness, ensuring proper documentation in clinical notes.
Additional codes that may be used with this diagnosis
Encounter for general adult medical examination without abnormal findings
Use when no specific cause for weakness is identified.
Neoplasms
Must be paired with the specific neoplasm code.
Unsteadiness on feet
Use if unsteady gait is present.
Limitations of activities due to fatigue
Use to document impact on daily activities.
The ICD-10 code for generalized weakness is R53.1, used when there is no specific etiology identified.
For fatigue related to cancer, use R53.0, ensuring the neoplasm is coded first.