Not Valid for Submission
R53.8 is a "header" nonspecific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of other malaise and fatigue. The code is NOT valid for the year 2021 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.
Specific Coding for Other malaise and fatigue
Header codes like R53.8 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for other malaise and fatigue:
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code R53.8:
Type 1 ExcludesType 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
- 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
Information for Patients
Also called: Tiredness, Weariness
Everyone feels tired now and then. Sometimes you may just want to stay in bed. But, after a good night's sleep, most people feel refreshed and ready to face a new day. If you continue to feel tired for weeks, it's time to see your doctor. He or she may be able to help you find out what's causing your fatigue and recommend ways to relieve it.
Fatigue itself is not a disease. Medical problems, treatments, and personal habits can add to fatigue. These include
- Taking certain medicines, such as antidepressants, antihistamines, and medicines for nausea and pain
- Having medical treatments, like chemotherapy and radiation
- Recovering from major surgery
- Anxiety, stress, or depression
- Staying up too late
- Drinking too much alcohol or too many caffeinated drinks
One disorder that causes extreme fatigue is chronic fatigue syndrome (CFS). This fatigue is not the kind of tired feeling that goes away after you rest. Instead, it lasts a long time and limits your ability to do ordinary daily activities.
NIH: National Institute on Aging
- Coping with cancer -- managing fatigue (Medical Encyclopedia)
- Fatigue (Medical Encyclopedia)