ICD-10 Coding for Chronic Fatigue(G93.32, R53.82)
Complete ICD-10-CM coding and documentation guide for Chronic Fatigue. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Chronic Fatigue
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| G93.32 | Chronic fatigue syndrome (ME/CFS) | Use when ME/CFS diagnosis meets IOM/CDC criteria. |
|
| R53.82 | Chronic fatigue, unspecified | Use when chronic fatigue is present but does not meet ME/CFS criteria. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for chronic fatigue syndrome
Essential facts and insights about Chronic Fatigue
Primary ICD-10-CM Codes for chronic fatigue
Decision Criteria
clinical Criteria
- Symptoms persist ≥6 months with PEM, unrefreshing sleep, and orthostatic intolerance.
Applicable To
- Myalgic Encephalomyelitis
- Systemic Exertion Intolerance Disease
Clinical Validation Requirements
- Symptoms persist ≥6 months
- Post-exertional malaise
- Unrefreshing sleep
- Orthostatic intolerance
Code-Specific Risks
- Incorrectly used with R53.82
- Requires specific documentation of ME/CFS criteria
Coding Notes
- Ensure ME/CFS criteria are documented clearly.
R53.82 - Chronic fatigue, unspecified
Use when chronic fatigue is present but does not meet ME/CFS criteria.
Applicable To
- Unspecified chronic fatigue
Excludes
- G93.32
- G93.31
Clinical Validation Requirements
- Chronic fatigue unexplained by other conditions
- Normal CBC, TSH, CRP, ANA
Coding Notes
Document exclusion of other causes thoroughly.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Post COVID-19 condition, unspecified
U09.9Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Chronic Fatigue to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G93.32.
Impact
Clinical: May lead to misdiagnosis., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Ensure lab tests are documented., Review patient history thoroughly.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Violates Excludes1 note rules., Data Quality: Affects accuracy of health records.
Mitigation Strategy
Use G93.32 only if ME/CFS criteria are met; otherwise, use R53.82.
Impact
Using R53.82 without excluding other conditions.
Mitigation Strategy
Ensure comprehensive documentation of exclusion criteria.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Chronic Fatigue, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Chronic Fatigue
Use these documentation templates to ensure complete and accurate documentation for Chronic Fatigue. These templates include all required elements for proper coding and billing.
Neurology Progress Note for ME/CFS
Specialty: NeurologyRequired Elements
- Subjective symptoms
- Objective findings
- Assessment
- Plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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