2023

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  5. 2023 ICD-10-CM Diagnosis Code R53.81

2023 ICD-10-CM Diagnosis Code R53.81

Other malaise

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  • R53.81 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2023 edition of ICD-10-CM R53.81 became effective on October 1, 2022.
  • This is the American ICD-10-CM version of R53.81 - other international versions of ICD-10 R53.81 may differ.
Applicable To
  • Chronic debility
  • Debility NOS
  • General physical deterioration
  • Malaise NOS
  • Nervous debility
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as R53.81. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • age-related physical debility (
    ICD-10-CM Diagnosis Code R54

    Age-related physical debility

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Adult Dx (15-124 years)
    Applicable To
    • Frailty
    • Old age
    • Senescence
    • Senile asthenia
    • Senile debility
    Type 1 Excludes
    R54
    )
The following code(s) above R53.81 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to R53.81:
  • R00-R99
    2023 ICD-10-CM Range R00-R99

    Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified

    Note
    • This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
    • Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
    • The conditions and signs or symptoms included in categories R00-R94 consist of:
    • (a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
    • (b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
    • (c) provisional diagnosis in a patient who failed to return for further investigation or care;
    • (d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
    • (e) cases in which a more precise diagnosis was not available for any other reason;
    • (f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.
    Type 2 Excludes
    • abnormal findings on antenatal screening of mother (O28.-)
    • certain conditions originating in the perinatal period (P04-P96)
    • signs and symptoms classified in the body system chapters
    • signs and symptoms of breast (N63, N64.5)
    Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
  • R53.8
    ICD-10-CM Diagnosis Code R53.8

    Other malaise and fatigue

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • combat exhaustion and fatigue (F43.0)
    • congenital debility (P96.9)
    • exhaustion and fatigue due to excessive exertion (T73.3)
    • exhaustion and fatigue due to exposure (T73.2)
    • exhaustion and fatigue due to heat (T67.-)
    • exhaustion and fatigue due to pregnancy (O26.8-)
    • exhaustion and fatigue due to recurrent depressive episode (F33)
    • exhaustion and fatigue due to senile debility (R54)
    Other malaise and fatigue
Approximate Synonyms
  • Asthenia
  • Debility
  • Decline in functional status
  • Deconditioning
  • Malaise
  • Malaise and fatigue
  • Physical deconditioning
Clinical Information
  • A disorder characterized by a feeling of general discomfort or uneasiness, an out-of-sorts feeling.
  • A feeling of general discomfort or uneasiness, an out-of-sorts feeling. (cdc glossary)
  • A mental disorder characterized by chronic fatigue and concomitant physiologic symptoms.
  • Malaise: a vague feeling of physical discomfort or apprehension.
  • The property of lacking physical or mental strength; liability to failure under pressure or stress or strain. (wordnet)
ICD-10-CM R53.81 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):
  • 947 Signs and symptoms with mcc
  • 948 Signs and symptoms without mcc

Convert R53.81 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
  • 2022 (effective 10/1/2021): No change
  • 2023 (effective 10/1/2022): No change

Diagnosis Index entries containing back-references to R53.81:
  • Debility (chronic) (general) (nervous) R53.81
    • nervous R53.81
  • Deterioration
    • general physical R53.81
  • Malaise R53.81

ICD-10-CM Codes Adjacent To R53.81
R50.9 Fever, unspecified
R51 Headache
R51.0 Headache with orthostatic component, not elsewhere classified
R51.9 Headache, unspecified
R52 Pain, unspecified
R53 Malaise and fatigue
R53.0 Neoplastic (malignant) related fatigue
R53.1 Weakness
R53.2 Functional quadriplegia
R53.8 Other malaise and fatigue
R53.81 Other malaise
R53.82 Chronic fatigue, unspecified
R53.83 Other fatigue
R54 Age-related physical debility
R55 Syncope and collapse
R56 Convulsions, not elsewhere classified
R56.0 Febrile convulsions
R56.00 Simple febrile convulsions
R56.01 Complex febrile convulsions
R56.1 Post traumatic seizures
R56.9 Unspecified convulsions

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

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