ICD-10 Coding for Tiredness/Fatigue(R53.83, R53.82, G93.32)
Complete ICD-10-CM coding and documentation guide for Tiredness/Fatigue. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Tiredness/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 |
|---|---|---|---|
| R53.83 | Other fatigue | Use for unexplained fatigue lasting less than 6 weeks without an identified underlying cause. |
|
| R53.82 | Chronic fatigue, unspecified | Use when fatigue persists for more than 6 weeks and does not meet ME/CFS criteria. |
|
| G93.32 | Myalgic encephalomyelitis/chronic fatigue syndrome | Use when ME/CFS is diagnosed per CDC 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
Essential facts and insights about Tiredness/Fatigue
Primary ICD-10-CM Codes for tired
Decision Criteria
clinical Criteria
- Fatigue less than 6 weeks, no underlying cause
Applicable To
- Fatigue NOS
Excludes
- Chronic fatigue syndrome (G93.32)
Clinical Validation Requirements
- Normal CBC, TSH, ferritin
- Absence of chronicity
Code-Specific Risks
- Risk of using when a more specific code applies.
Coding Notes
- Ensure documentation specifies the duration and lack of underlying cause.
R53.82 - Chronic fatigue, unspecified
Use when fatigue persists for more than 6 weeks and does not meet ME/CFS criteria.
Applicable To
- Chronic fatigue NOS
Excludes
- Chronic fatigue syndrome (G93.32)
Clinical Validation Requirements
- Fatigue lasting more than 6 weeks
- Exclusion of other causes
Coding Notes
Document duration, severity, and impact on daily activities.
G93.32 - Myalgic encephalomyelitis/chronic fatigue syndrome
Use when ME/CFS is diagnosed per CDC criteria.
Applicable To
- Chronic fatigue syndrome
Excludes
- Fatigue NOS (R53.83)
Clinical Validation Requirements
- CDC criteria for ME/CFS
- Exclusion of other conditions
Coding Notes
Ensure explicit documentation of ME/CFS diagnosis.
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 Tiredness/Fatigue to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R53.83.
Impact
Clinical: Inadequate patient history., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Always include duration in clinical notes., Use templates to ensure completeness.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate health records.
Mitigation Strategy
Use R53.82 for chronic fatigue.
Impact
Inadequate documentation of fatigue duration and impact.
Mitigation Strategy
Use standardized templates and ensure thorough documentation.
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 Tiredness/Fatigue, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Tiredness/Fatigue
Use these documentation templates to ensure complete and accurate documentation for Tiredness/Fatigue. These templates include all required elements for proper coding and billing.
Chronic fatigue evaluation
Specialty: Internal MedicineRequired Elements
- Duration of fatigue
- Severity scale
- Impact on daily activities
- Laboratory results
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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