ICD-10 Coding for Extreme Fatigue(R53.83, R53.0, G93.32)
Complete ICD-10-CM coding and documentation guide for Extreme Fatigue. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Extreme 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 when fatigue is severe but no specific underlying cause is confirmed. |
|
| R53.0 | Neoplasm-related fatigue | Use when fatigue is directly tied to cancer or its treatment. |
|
| G93.32 | Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) | Use when ME/CFS diagnostic criteria are met. |
|
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 extreme fatigue
Essential facts and insights about Extreme Fatigue
Primary ICD-10-CM Codes for extreme fatigue
Decision Criteria
clinical Criteria
- Fatigue lasting more than 6 months with no specific cause identified.
documentation Criteria
- Detailed documentation of fatigue's impact on daily life and exclusion of other conditions.
Applicable To
- Chronic fatigue, unspecified
Clinical Validation Requirements
- Documented duration and severity of fatigue
- Impact on activities of daily living (ADLs)
- Exclusion of other causes such as anemia or thyroid dysfunction
Code-Specific Risks
- Risk of undercoding if a more specific cause is identified later.
Coding Notes
- Ensure documentation supports the use of R53.83 by ruling out more specific conditions.
R53.0 - Neoplasm-related fatigue
Use when fatigue is directly tied to cancer or its treatment.
Applicable To
- Fatigue due to cancer
Excludes
- Fatigue not related to neoplasm (R53.83)
Clinical Validation Requirements
- Confirmed diagnosis of neoplasm
- Documentation of fatigue as a direct result of cancer or its treatment
Coding Notes
Ensure neoplasm is coded first to reflect the primary condition.
G93.32 - Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS)
Use when ME/CFS diagnostic criteria are met.
Applicable To
- Chronic fatigue syndrome
Excludes
- Fatigue not meeting ME/CFS criteria (R53.83)
Clinical Validation Requirements
- Presence of post-exertional malaise
- Unrefreshing sleep
- Cognitive impairment
- Exclusion of other medical conditions
Coding Notes
Ensure all ME/CFS criteria are documented before using this code.
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.
Neoplasm-related fatigue
R53.0Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS)
G93.32Other fatigue
R53.83Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Extreme 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: May lead to incorrect diagnosis and treatment., Regulatory: Increases risk of audit and non-compliance., Financial: Potential for denied claims due to insufficient documentation.
Mitigation Strategy
Use a checklist to ensure all potential causes are considered., Regularly update documentation templates.
Impact
Reimbursement: May lead to lower reimbursement if specificity is not captured., Compliance: Risk of audit if documentation does not support code choice., Data Quality: Impacts data accuracy and quality for patient records.
Mitigation Strategy
Review patient history and documentation to ensure the most specific code is used.
Impact
Reimbursement: Incorrect sequencing can affect DRG assignment and reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Leads to inaccurate clinical data representation.
Mitigation Strategy
Ensure the underlying condition is coded first, followed by fatigue.
Impact
Inaccurate documentation can lead to coding errors and audits.
Mitigation Strategy
Implement regular training and audits of documentation practices.
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 Extreme Fatigue, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Extreme Fatigue
Use these documentation templates to ensure complete and accurate documentation for Extreme Fatigue. These templates include all required elements for proper coding and billing.
Chronic Fatigue in Primary Care
Specialty: Family MedicineRequired Elements
- Fatigue Severity
- Duration
- Impact on ADLs
- Associated Symptoms
- Ruled Out Conditions
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Extreme Fatigue? Ask your questions below.