2021 ICD-10-CM Diagnosis Code R54

Age-related physical debility

    2016 2017 2018 2019 2020 2021 Billable/Specific Code Adult Dx (15-124 years)
  • R54 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2021 edition of ICD-10-CM R54 became effective on October 1, 2020.
  • This is the American ICD-10-CM version of R54 - other international versions of ICD-10 R54 may differ.
ICD-10-CM Coding Rules
  • R54 is applicable to adult patients aged 15 - 124 years inclusive.
Applicable To
  • Frailty
  • Old age
  • Senescence
  • Senile asthenia
  • Senile 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 R54. 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 cognitive decline (
    ICD-10-CM Diagnosis Code R41.81

    Age-related cognitive decline

      2016 2017 2018 2019 2020 2021 Billable/Specific Code Adult Dx (15-124 years)
    Applicable To
    • Senility NOS
    R41.81
    )
  • sarcopenia (
    ICD-10-CM Diagnosis Code M62.84

    Sarcopenia

      2017 - New Code 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Age-related sarcopenia
    Code First
    • underlying disease, if applicable, such as:
    • disorders of myoneural junction and muscle disease in diseases classified elsewhere (G73.-)
    • other and unspecified myopathies (G72.-)
    • primary disorders of muscles (G71.-)
    M62.84
    )
  • senile psychosis (
    ICD-10-CM Diagnosis Code F03

    Unspecified dementia

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Applicable To
    • Presenile dementia NOS
    • Presenile psychosis NOS
    • Primary degenerative dementia NOS
    • Senile dementia NOS
    • Senile dementia depressed or paranoid type
    • Senile psychosis NOS
    Type 1 Excludes
    Type 2 Excludes
    • mild memory disturbance due to known physiological condition (F06.8)
    • senile dementia with delirium or acute confusional state (F05)
    F03
    )
  • senility NOS (
    ICD-10-CM Diagnosis Code R41.81

    Age-related cognitive decline

      2016 2017 2018 2019 2020 2021 Billable/Specific Code Adult Dx (15-124 years)
    Applicable To
    • Senility NOS
    R41.81
    )
The following code(s) above R54 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 R54:
  • R00-R99
    2021 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
Approximate Synonyms
  • Frailty
ICD-10-CM R54 is grouped within Diagnostic Related Group(s) (MS-DRG v38.0):
  • 884 Organic disturbances and intellectual disability

Convert R54 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
Code annotations containing back-references to R54:
  • Type 1 Excludes: R53.1
    , R53.1
    , R53.2
    , R53.8
    , R53.81
    ICD-10-CM Diagnosis Code R53.1

    Weakness

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Asthenia NOS
    Type 1 Excludes
    • age-related weakness (R54)
    • muscle weakness (generalized) (M62.81)
    • sarcopenia (M62.84)
    • senile asthenia (R54)
    ICD-10-CM Diagnosis Code R53.1

    Weakness

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Asthenia NOS
    Type 1 Excludes
    • age-related weakness (R54)
    • muscle weakness (generalized) (M62.81)
    • sarcopenia (M62.84)
    • senile asthenia (R54)
    ICD-10-CM Diagnosis Code R53.2

    Functional quadriplegia

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Complete immobility due to severe physical disability or frailty
    Type 1 Excludes
    • frailty NOS (R54)
    • hysterical paralysis (F44.4)
    • immobility syndrome (M62.3)
    • neurologic quadriplegia (G82.5-)
    • quadriplegia (G82.50)
    ICD-10-CM Diagnosis Code R53.8

    Other malaise and fatigue

      2016 2017 2018 2019 2020 2021 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)
    ICD-10-CM Diagnosis Code R53.81

    Other malaise

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Chronic debility
    • Debility NOS
    • General physical deterioration
    • Malaise NOS
    • Nervous debility
    Type 1 Excludes
    • age-related physical debility (R54)

Diagnosis Index entries containing back-references to R54:
  • Asthenia, asthenic R53.1
    ICD-10-CM Diagnosis Code R53.1

    Weakness

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Asthenia NOS
    Type 1 Excludes
    • age-related weakness (R54)
    • muscle weakness (generalized) (M62.81)
    • sarcopenia (M62.84)
    • senile asthenia (R54)
    • senile R54
  • Atrophia - see also Atrophy
  • Atrophy, atrophic (of)
  • Cachexia R64
    ICD-10-CM Diagnosis Code R64

    Cachexia

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Wasting syndrome
    Code First
    • underlying condition, if known
    Type 1 Excludes
    • abnormal weight loss (R63.4)
    • nutritional marasmus (E41)
    • old age R54
    • senile R54
  • Catabolism, senile R54
  • Change(s) (in) (of) - see also Removal
  • Debility (chronic) (general) (nervous) R53.81
    ICD-10-CM Diagnosis Code R53.81

    Other malaise

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Chronic debility
    • Debility NOS
    • General physical deterioration
    • Malaise NOS
    • Nervous debility
    Type 1 Excludes
    • age-related physical debility (R54)
    • old age R54
    • senile R54
  • Decay
    • senile R54
  • Degeneration, degenerative
  • Deterioration
    • senile R54 (simple)
  • Dysfunction
    • senile R54
  • Exhaustion, exhaustive (physical NEC) R53.83
    ICD-10-CM Diagnosis Code R53.83

    Other fatigue

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Fatigue NOS
    • Lack of energy
    • Lethargy
    • Tiredness
    Type 2 Excludes
    • exhaustion and fatigue due to depressive episode (F32.-)
    • old age R54
    • senile R54
  • Failure, failed
    • senile R54 (general)
  • Fatigue R53.83
    ICD-10-CM Diagnosis Code R53.83

    Other fatigue

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Fatigue NOS
    • Lack of energy
    • Lethargy
    • Tiredness
    Type 2 Excludes
    • exhaustion and fatigue due to depressive episode (F32.-)
    • senile R54
  • Fibrosis, fibrotic
    • senile R54
  • Frailty (frail) R54
  • Infirmity R68.89
    ICD-10-CM Diagnosis Code R68.89

    Other general symptoms and signs

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    • senile R54
  • Marasmus E41
    ICD-10-CM Diagnosis Code E41

    Nutritional marasmus

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Severe malnutrition with marasmus
    Type 1 Excludes
    • marasmic kwashiorkor (E42)
    • senile R54
  • Old age (without mention of debility) R54
  • Presbycardia R54
  • Prostration R53.83
    ICD-10-CM Diagnosis Code R53.83

    Other fatigue

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Fatigue NOS
    • Lack of energy
    • Lethargy
    • Tiredness
    Type 2 Excludes
    • exhaustion and fatigue due to depressive episode (F32.-)
    • senile R54
  • Senectus R54
  • Senescence R54 (without mention of psychosis)
  • Senile, senility R41.81
    - see also condition
    ICD-10-CM Diagnosis Code R41.81

    Age-related cognitive decline

      2016 2017 2018 2019 2020 2021 Billable/Specific Code Adult Dx (15-124 years)
    Applicable To
    • Senility NOS
    • asthenia R54
    • debility R54
    • heart R54 (failure)
  • Tremor(s) R25.1
    ICD-10-CM Diagnosis Code R25.1

    Tremor, unspecified

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Type 1 Excludes
    • senilis R54
  • Weak, weakening, weakness (generalized) R53.1
    ICD-10-CM Diagnosis Code R53.1

    Weakness

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Asthenia NOS
    Type 1 Excludes
    • age-related weakness (R54)
    • muscle weakness (generalized) (M62.81)
    • sarcopenia (M62.84)
    • senile asthenia (R54)
    • senile R54

ICD-10-CM Codes Adjacent To R54
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
R57 Shock, not elsewhere classified
R57.0 Cardiogenic shock
R57.1 Hypovolemic shock

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