ICD-10 Coding for Exhaustion(T73.3, R53.0)
Complete ICD-10-CM coding and documentation guide for Exhaustion. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Exhaustion
Codes for fatigue and related conditions
Includes codes for general fatigue, chronic fatigue, and neoplastic-related fatigue.
T73.3Primary Range
Code for exhaustion due to excessive exertion
Specifically used for exhaustion resulting from physical overexertion.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| T73.3 | Exhaustion due to excessive exertion | Use when exhaustion is directly linked to a specific exertion activity. |
|
| R53.0 | Neoplastic-related fatigue | Use when fatigue is directly related to a neoplastic condition. |
|
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 exhaustion due to exertion
Essential facts and insights about Exhaustion
Primary ICD-10-CM Codes for exhaustion
Decision Criteria
clinical Criteria
- Exhaustion linked to a specific physical activity
Applicable To
- Exhaustion from physical overexertion
Excludes
- Chronic fatigue syndrome (R53.82)
Clinical Validation Requirements
- Documented exertion activity
- Elevated CK levels >1,000 U/L
Code-Specific Risks
- Misuse for general fatigue without exertion link
Coding Notes
- Ensure documentation specifies the exertion activity causing exhaustion.
R53.0 - Neoplastic-related fatigue
Use when fatigue is directly related to a neoplastic condition.
Applicable To
- Fatigue due to cancer
Excludes
- Fatigue not related to neoplasm
Clinical Validation Requirements
- Active malignancy diagnosis
- Documented fatigue symptoms
Coding Notes
Ensure neoplasm is coded first to maintain correct sequencing.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Exhaustion to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code T73.3.
Impact
Clinical: Leads to misdiagnosis or improper treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials or reduced reimbursement.
Mitigation Strategy
Use specific language linking fatigue to cause, Include clinical validation in notes
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use R53.0 with the appropriate neoplasm code first.
Impact
Failure to sequence primary condition before symptoms.
Mitigation Strategy
Educate coders on proper sequencing rules.
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 Exhaustion, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Exhaustion
Use these documentation templates to ensure complete and accurate documentation for Exhaustion. These templates include all required elements for proper coding and billing.
Exertion-related exhaustion in athletes
Specialty: Sports MedicineRequired Elements
- Activity causing exhaustion
- Duration and intensity of activity
- Symptoms onset and duration
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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