ICD-10 Coding for Tiredness(R53.83, R53.82, G93.32, R53.0)
Complete ICD-10-CM coding and documentation guide for Tiredness. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Tiredness
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 when fatigue is idiopathic and impacts daily activities for at least 2 weeks. |
|
| R53.82 | Chronic fatigue, unspecified | Use when chronic fatigue is present but ME/CFS criteria are not met. |
|
| G93.32 | Myalgic encephalomyelitis/chronic fatigue syndrome | Use when ME/CFS criteria are met, including PEM and cognitive impairment. |
|
| R53.0 | Neoplasm related fatigue | Use when fatigue is directly caused by a malignancy. |
|
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 tiredness
Essential facts and insights about Tiredness
Primary ICD-10-CM Codes for tiredness
Decision Criteria
clinical Criteria
- Fatigue not explained by exertion or other conditions
Applicable To
- Idiopathic fatigue
Clinical Validation Requirements
- Fatigue persisting for ≥2 weeks
- Normal lab results (CBC, TSH)
Code-Specific Risks
- Misuse when a more specific cause is identified
Coding Notes
- Ensure documentation specifies idiopathic nature and duration.
R53.82 - Chronic fatigue, unspecified
Use when chronic fatigue is present but ME/CFS criteria are not met.
Applicable To
- Chronic fatigue syndrome not otherwise specified
Excludes
- ME/CFS (G93.32)
Clinical Validation Requirements
- Fatigue lasting ≥6 weeks without meeting ME/CFS criteria
Coding Notes
Document duration and lack of specific ME/CFS symptoms.
G93.32 - Myalgic encephalomyelitis/chronic fatigue syndrome
Use when ME/CFS criteria are met, including PEM and cognitive impairment.
Applicable To
- Chronic fatigue syndrome with PEM
Excludes
- Fatigue due to mental disorders (F43-F48)
Clinical Validation Requirements
- Presence of post-exertional malaise
- Fatigue lasting ≥6 months
Coding Notes
Ensure documentation includes PEM and duration.
R53.0 - Neoplasm related fatigue
Use when fatigue is directly caused by a malignancy.
Applicable To
- Cancer-related fatigue
Excludes
- Fatigue not related to neoplasm
Clinical Validation Requirements
- Fatigue directly linked to malignancy
Coding Notes
Document the link between fatigue and the neoplasm.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Tiredness to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R53.83.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims due to insufficient documentation.
Mitigation Strategy
Use specific terms like 'chronic' or 'persistent'., Document associated symptoms and duration.
Impact
Reimbursement: May lead to incorrect reimbursement levels., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of patient records.
Mitigation Strategy
Identify and code the underlying cause first, such as depression or neoplasm.
Impact
Risk of audit if fatigue is coded without clear documentation of idiopathic nature and duration.
Mitigation Strategy
Ensure thorough documentation of fatigue's impact and duration.
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, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Tiredness
Use these documentation templates to ensure complete and accurate documentation for Tiredness. These templates include all required elements for proper coding and billing.
Chronic fatigue assessment
Specialty: Primary CareRequired Elements
- Onset and duration of fatigue
- Impact on daily activities
- Associated symptoms like PEM
- Lab results (CBC, TSH)
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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