2026 ICD-10-CM Diagnosis Code R53.1Weakness
ICD-10-CM Codes›R00–R99›R50-R69›R53
- Billable — Valid for Submission
- Not Chronic
R53.1 is a billable ICD-10-CM diagnosis code for weakness. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 947 through 948. As a symptom code, it should not be used as a principal diagnosis once a related definitive diagnosis has been established. Coders also document this condition as asthenia. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Malaise and fatigue.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Asthenia
- Asthenia due to disease
- Attacks of weakness
- Fatigue due to and following cerebrovascular accident
- Focal motor weakness
- Weakness as a late effect of stroke
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Inclusion Terms
- Asthenia NOS
Type 1 Excludes
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
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.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
- Asthenia, asthenic - R53.1
- Weak, weakening, weakness (generalized) - R53.1
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Asthenia, asthenic
- Weak, weakening, weakness(generalized)
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Asthenia
clinical sign or symptom manifested as debility, or lack or loss of strength and energy.Neurocirculatory Asthenia
a clinical syndrome characterized by palpitation, shortness of breath, labored breathing, subjective complaints of effort and discomfort, all following slight physical exertion. other symptoms may be dizziness, tremulousness, sweating, and insomnia. neurocirculatory asthenia is most typically seen as a form of anxiety disorder.Bilateral Vestibular Weakness|Bilateral loss of labyrinthine reactivity
a reduction or absence of vestibular function occurring in both inner ears.EORTC QLQ-CLL17 - Muscle Weakness|EOR29-Muscle Weakness|EOR29-Muscle Weakness|EOR2931
european organization for the research and treatment of cancer quality of life questionnaire - chronic lymphocytic leukemia 17 items (eortc qlq-cll17) have you had muscle weakness?Feel Weakness in Arm or Hand Question|Does your arm or hand feel weak|Feel Weakness in Arm or Hand
a question about whether an individual has or had weakness in their arm or hand.Grade 1 Facial Muscle Weakness, CTCAE|Grade 1 Facial muscle weakness
mild symptoms; clinical or diagnostic observations only; intervention not indicatedGrade 2 Facial Muscle Weakness, CTCAE|Grade 2 Facial muscle weakness
moderate symptoms; limiting instrumental adl or mild/moderate impact on age-appropriate normal daily activity (pediatric)Grade 2 Generalized Muscle Weakness, CTCAE|Grade 2 Generalized muscle weakness
symptomatic; evident on physical exam; limiting instrumental adl or mild/moderate impact on age-appropriate normal daily activity (pediatric)Grade 2 Muscle Weakness Lower Limb, CTCAE|Grade 2 Muscle weakness lower limb
symptomatic; evident on physical exam; limiting instrumental adl or mild/moderate impact on age-appropriate normal daily activity (pediatric)Grade 2 Muscle Weakness Trunk, CTCAE|Grade 2 Muscle weakness trunk
symptomatic; evident on physical exam; limiting instrumental adl or mild/moderate impact on age-appropriate normal daily activity (pediatric)Grade 2 Muscle Weakness Upper Limb, CTCAE|Grade 2 Muscle weakness upper limb
symptomatic; evident on physical exam; limiting instrumental adl or mild/moderate impact on age-appropriate normal daily activity (pediatric)Grade 2 Pelvic Floor Muscle Weakness, CTCAE|Grade 2 Pelvic floor muscle weakness
symptomatic, not interfering with bladder, bowel, or vaginal function; limiting instrumental adl or mild/moderate impact on age-appropriate normal daily activity (pediatric)Grade 3 Facial Muscle Weakness, CTCAE|Grade 3 Facial muscle weakness
severe symptoms; limiting self-care adl or severe impact on age-appropriate normal daily activity (pediatric)Grade 3 Generalized Muscle Weakness, CTCAE|Grade 3 Generalized muscle weakness
limiting self-care adl or severe impact on age-appropriate normal daily activity (pediatric)Grade 3 Muscle Weakness Lower Limb, CTCAE|Grade 3 Muscle weakness lower limb
limiting self-care adl or severe impact on age-appropriate normal daily activity (pediatric)Grade 3 Muscle Weakness Trunk, CTCAE|Grade 3 Muscle weakness trunk
limiting self-care adl or severe impact on age-appropriate normal daily activity (pediatric)Grade 3 Muscle Weakness Upper Limb, CTCAE|Grade 3 Muscle weakness upper limb
limiting self-care adl or severe impact on age-appropriate normal daily activity (pediatric)Grade 3 Pelvic Floor Muscle Weakness, CTCAE|Grade 3 Pelvic floor muscle weakness
severe symptoms; limiting self-care adl or severe impact on age-appropriate normal daily activity (pediatric)Have Difficulty Climbing Stairs or Getting Out of Chair Because of Weakness in Legs Question|Did you have difficulty climbing stairs or getting up out of a chair because of weakness in your legs|Have Difficulty Climbing Stairs or Getting Out of Chair Because of Weakness in Legs
a question about whether an individual has or had difficulty climbing stairs or getting up out of a chair because of weakness in their legs.Have Difficulty Opening a Jar or Bottle Because of Weakness in Hands Question|Did you have difficulty opening a jar or bottle because of weakness in your hands|Have Difficulty Opening a Jar or Bottle Because of Weakness in Hands
a question about whether an individual has or had difficulty opening a jar or bottle because of weakness in their hands.Have Felt Unusual Weakness Question|Have Felt Unusual Weakness|Have Felt Unusual Weakness
a question about whether an individual feels or felt unusual weakness.Have Weakness in Legs Question|Have Leg Weakness|Have Weakness in Legs|I have weakness in my legs|My legs feel weak
a question about whether an individual has or had weakness in their legs.Have Weakness in Limbs Question|Did you feel weak in your arms and legs|Feel Weak in Arms and Legs|Have Weakness in Limbs|I have weakness in my arms or legs
a question about whether an individual has or had weakness in their arms or legs.Have Weakness of Both Legs Question|Did you have weakness of both legs|Have Weakness of Both Legs
a question about whether an individual has or had weakness of both legs.Have Weakness on One Side of Body Question|Did you have weakness on one side of your body|Have Weakness on One Side of Body
a question about whether an individual has or had weakness on one side of the body.How Much Bothered by Arm Weakness in Affected Arm Question|Arm weakness|How Much Bothered by Arm Weakness in Affected Arm
a question about how bothered an individual is by arm weakness in their affected arm.How Often Experienced Difficulty Doing Everyday Activities Because of Abdominal Muscle Weakness Question|Difficulty doing everyday activities because of abdominal muscle weakness (e.g. making your bed)|How Often Experienced Difficulty Doing Everyday Activities Because of Abdominal Muscle Weakness
a question about how often an individual has or had experienced difficulty doing everyday activities because of abdominal muscle weakness (e.g.making their bed).How Often Experienced Difficulty Sitting up Because Abdominal Muscle Weakness Question|Difficulty sitting up because of abdominal muscle weakness (e.g. getting out of bed)|How Often Experienced Difficulty Sitting up Because Abdominal Muscle Weakness
a question about how often an individual has or had experienced difficulty sitting up because of abdominal muscle weakness (e.g.getting out of bed).Weakness in Arms and/or Legs at its Worst Question|Weakness in Arms and/or Legs at its Worst|Your weakness in the arms and/or legs at its worst
a question about an individual's weakness in their arms and/or legs at its worst.Weakness on One Side of the Body at its Worst Question|Weakness on One Side of the Body at its Worst|Weakness on one side of the body at its worst
a question about an individual's weakness on one side of the body at its worst.Eye Muscle Weakness
a reduction in the strength of the eye muscles.Facial Muscle Weakness, CTCAE|Facial Muscle Weakness|Facial muscle weakness
a disorder characterized by a reduction in the strength of the facial muscles.Facial Muscle Weakness|Facial muscle weakness
a reduction in the strength of the facial muscles.Facial Weakness following Cerebral Infarction|Facial weakness following cerebral infarction
evidence of facial weakness following cerebral infarction.Facial Weakness following Other Cerebrovascular Disease|Facial weakness following other cerebrovascular disease
evidence of facial weakness following other cerebrovascular disease.Facial Weakness following Unspecified Cerebrovascular Disease|Facial weakness following unspecified cerebrovascular disease
evidence of facial weakness following unspecified cerebrovascular disease.FACIT-Searchable Item Library Adult Version - Have Weakness in My Arms or Legs|FSIL-Have Weakness in My Arms or Legs|FSIL-Have Weakness in My Arms or Legs|FSIL0100
functional assessment of chronic illness therapy-searchable item library adult version (facit-searchable item library adult version) i have weakness in my arms or legs.FACIT-Searchable Item Library Adult Version - I Have Weakness in My Legs|FSIL-I Have Weakness in My Legs|FSIL-I Have Weakness in My Legs|FSIL0495
functional assessment of chronic illness therapy-searchable item library adult version (facit-searchable item library adult version) i have weakness in my legs.FBRSI - Have Weakness in My Arms or Legs|FAC029-Have Weakness in My Arms or Legs|FAC029-Have Weakness in My Arms or Legs|FAC02903
functional assessment of cancer therapy-brain symptom index (fbrsi) i have weakness in my arms or legs.Feel Weakness in Arm or Hand|Does your arm or hand feel weak
a question about whether an individual has or had weakness in their arm or hand.Focal Motor Weakness|Focal motor weakness
impairments of brain function, the nerve or spinal cord that affect a specific region of the body.Generalized Muscle Weakness, CTCAE|Generalized Muscle Weakness|Generalized muscle weakness
a disorder characterized by a reduction in the strength of muscles in multiple anatomic sites.Generalized Muscle Weakness|Generalized muscle weakness
a reduction in the strength of muscles in multiple anatomic sites.Grade 1 Facial Muscle Weakness, CTCAE|Grade 1 Facial muscle weakness
asymptomatic; clinical or diagnostic observations only; intervention not indicatedGrade 1 Generalized Muscle Weakness, CTCAE|Grade 1 Generalized muscle weakness
symptomatic; perceived by patient but not evident on physical examGrade 1 Muscle Weakness Left-Sided, CTCAE|Grade 1 Muscle weakness left-sided
symptomatic; perceived by patient but not evident on physical examGrade 1 Muscle Weakness Lower Limb, CTCAE|Grade 1 Muscle weakness lower limb
symptomatic; perceived by patient but not evident on physical examGrade 1 Muscle Weakness Right-Sided, CTCAE|Grade 1 Muscle weakness right-sided
symptomatic; perceived by patient but not evident on physical examGrade 1 Muscle Weakness Trunk, CTCAE|Grade 1 Muscle weakness trunk
symptomatic; perceived by patient but not evident on physical examGrade 1 Muscle Weakness Upper Limb, CTCAE|Grade 1 Muscle weakness upper limb
symptomatic; perceived by patient but not evident on physical examGrade 1 Pelvic Floor Muscle Weakness, CTCAE|Grade 1 Pelvic floor muscle weakness
asymptomatic; clinical or diagnostic observations only; intervention not indicatedGrade 2 Facial Muscle Weakness, CTCAE|Grade 2 Facial muscle weakness
moderate symptoms; limiting instrumental adlGrade 2 Generalized Muscle Weakness, CTCAE|Grade 2 Generalized muscle weakness
symptomatic; evident on physical exam; limiting instrumental adlGrade 2 Muscle Weakness Left-Sided, CTCAE|Grade 2 Muscle weakness left-sided
symptomatic; evident on physical exam; limiting instrumental adlGrade 2 Muscle Weakness Lower Limb, CTCAE|Grade 2 Muscle weakness lower limb
symptomatic; evident on physical exam; limiting instrumental adlGrade 2 Muscle Weakness Right-Sided, CTCAE|Grade 2 Muscle weakness right-sided
symptomatic; evident on physical exam; limiting instrumental adlGrade 2 Muscle Weakness Trunk, CTCAE|Grade 2 Muscle weakness trunk
symptomatic; evident on physical exam; limiting instrumental adlGrade 2 Muscle Weakness Upper Limb, CTCAE|Grade 2 Muscle weakness upper limb
symptomatic; evident on physical exam; limiting instrumental adlGrade 2 Pelvic Floor Muscle Weakness, CTCAE|Grade 2 Pelvic floor muscle weakness
symptomatic, not interfering with bladder, bowel, or vaginal function; limiting instrumental adlGrade 3 Facial Muscle Weakness, CTCAE|Grade 3 Facial muscle weakness
severe symptoms; limiting self care adlGrade 3 Generalized Muscle Weakness, CTCAE|Grade 3 Generalized muscle weakness
limiting self care adlGrade 3 Muscle Weakness Left-Sided, CTCAE|Grade 3 Muscle weakness left-sided
limiting self care adlGrade 3 Muscle Weakness Lower Limb, CTCAE|Grade 3 Muscle weakness lower limb
limiting self care adlGrade 3 Muscle Weakness Right-Sided, CTCAE|Grade 3 Muscle weakness right-sided
limiting self care adlGrade 3 Muscle Weakness Trunk, CTCAE|Grade 3 Muscle weakness trunk
limiting self care adlGrade 3 Muscle Weakness Upper Limb, CTCAE|Grade 3 Muscle weakness upper limb
limiting self care adlGrade 3 Pelvic Floor Muscle Weakness, CTCAE|Grade 3 Pelvic floor muscle weakness
severe symptoms; limiting self care adlHave Difficulty Climbing Stairs or Getting Out of Chair Because of Weakness in Legs|Did you have difficulty climbing stairs or getting up out of a chair because of weakness in your legs
a question about whether an individual has or had difficulty climbing stairs or getting up out of a chair because of weakness in their legs.Have Difficulty Opening a Jar or Bottle Because of Weakness in Hands|Did you have difficulty opening a jar or bottle because of weakness in your hands
a question about whether an individual has or had difficulty opening a jar or bottle because of weakness in their hands.Have Felt Unusual Weakness
a question about whether an individual feels or felt unusual weakness.Have Weakness in Legs|Have Leg Weakness|I have weakness in my legs|My legs feel weak
a question about whether an individual has or had weakness in their legs.Have Weakness in Limbs|Did you feel weak in your arms and legs|Feel Weak in Arms and Legs|I have weakness in my arms or legs
a question about whether an individual has or had weakness in their arms or legs.Have Weakness of Both Legs|Did you have weakness of both legs
a question about whether an individual has or had weakness of both legs.Have Weakness on One Side of Body|Did you have weakness on one side of your body
a question about whether an individual has or had weakness on one side of the body.How Much Bothered by Arm Weakness in Affected Arm|Arm weakness
a question about how bothered an individual is by arm weakness in their affected arm.How Often Experienced Difficulty Doing Everyday Activities Because of Abdominal Muscle Weakness|Difficulty doing everyday activities because of abdominal muscle weakness (e.g. making your bed)
a question about how often an individual has or had experienced difficulty doing everyday activities because of abdominal muscle weakness (e.g.making their bed).How Often Experienced Difficulty Sitting up Because Abdominal Muscle Weakness|Difficulty sitting up because of abdominal muscle weakness (e.g. getting out of bed)
a question about how often an individual has or had experienced difficulty sitting up because of abdominal muscle weakness (e.g.getting out of bed).KFSS - Weakness Interferes With Testing|KFSS1-Weakness Interferes With Testing|KFSS1-Weakness Interferes With Testing|KFSS102A
kurtzke functional systems scores (kfss) record number 1 in small box when weakness (grade 3 or worse on pyramidal) interferes with testing.Kurtzke Functional System Scores KFSS103 Original Result - Severe nystagmus, marked extraocular weakness, or moderate disability of other cranial nerves|KFSS103-Severe nystagmus, marked extraocular weakness, or moderate disability of other cranial nerves|Severe nystagmus, marked extraocular weakness, or moderate disability of other cranial nerves
kurtzke functional system scores kfss103 original result - severe nystagmus, marked extraocular weakness, or moderate disability of other cranial nerves.Muscle Weakness
a reduction in the strength of one or more muscles.Muscle Weakness Left-Sided, CTCAE|Muscle Weakness Left-Sided|Muscle weakness left-sided
a disorder characterized by a reduction in the strength of the muscles on the left side of the body.Muscle Weakness Left-Sided|Muscle weakness left-sided
a reduction in the strength of the muscles in the left side of the body.Muscle Weakness Lower Limb, CTCAE|Muscle Weakness Lower Limb|Muscle weakness lower limb
a disorder characterized by a reduction in the strength of the lower limb muscles.Muscle Weakness Lower Limb|Muscle weakness lower limb
a reduction in the strength of the lower limb muscles.Muscle Weakness Right-Sided, CTCAE|Muscle Weakness Right-Sided|Muscle weakness right-sided
a disorder characterized by a reduction in the strength of the muscles on the right side of the body.Muscle Weakness Right-Sided|Muscle weakness right-sided
a reduction in the strength of the muscles in the right side of the body.Muscle Weakness Trunk, CTCAE|Muscle Weakness Trunk|Muscle weakness trunk
a disorder characterized by a reduction in the strength of the trunk muscles.Muscle Weakness Trunk|Muscle weakness trunk
a reduction in the strength of the trunk muscles.Muscle Weakness Upper Limb, CTCAE|Muscle Weakness Upper Limb|Muscle weakness upper limb
a disorder characterized by a reduction in the strength of the upper limb muscles.Muscle Weakness Upper Limb|Muscle weakness upper limb
a reduction in the strength of the upper limb muscles.Muscle Weakness/Atrophy
a reduction in the strength and/or mass of one or more muscles.NCCN-FACT FBRSI-24 Version 2 - Have Weakness in My Arms or Legs|FAC030-Have Weakness in My Arms or Legs|FAC030-Have Weakness in My Arms or Legs|FAC03005
national comprehensive cancer network/functional assessment of cancer therapy-brain symptom index-24 version 2 (nccn-fact fbrsi-24 version 2) i have weakness in my arms or legs.NCCN-FACT-FPSI 17 Version 2 - I Have Weakness in My Legs|FAC052-I Have Weakness in My Legs|FAC052-I Have Weakness in My Legs|FAC05207
national comprehensive cancer network/functional assessment of cancer therapy-prostate symptom index 17 version 2 (nccn-fact-fpsi 17 version 2) i have weakness in my legs.Pain or Weakness in Shoulder has Caused Work Change|Pain or weakness in my shoulder has caused me to change my work
a response indicating that an individual has or had shoulder pain or weakness that has caused a work change.Pelvic Floor Muscle Weakness, CTCAE|Pelvic Floor Muscle Weakness|Pelvic floor muscle weakness
a disorder characterized by a reduction in the strength of the muscles of the pelvic floor.Pelvic Floor Muscle Weakness|Pelvic floor muscle weakness
a reduction in the strength of the muscles of the pelvic floor.Weakness
the property of lacking physical strength.Weakness in Arms and/or Legs at its Worst|Your weakness in the arms and/or legs at its worst
a question about an individual's weakness in their arms and/or legs at its worst.Weakness on One Side of the Body at its Worst|Weakness on one side of the body at its worst
a question about an individual's weakness on one side of the body at its worst.Early-Onset Progressive Encephalopathy with Brain Atrophy and Thin Corpus Callosum|Early-Onset Progressive Diffuse Brain Atrophy-Microcephaly-Muscle Weakness-Optic Atrophy Syndrome|PEBAT
an autosomal recessive condition caused by mutation(s) in the tbcd gene, encoding tubulin-specific chaperone d. it is characterized by encephalopathy, cerebellar and cerebral atrophy, and a thin corpus callosum.MT-ATP6 wt Allele|ATP Synthase 6 Gene|ATP6|ATPASE-6|ATPase-6|ATPase6|Complex V, ATP Synthase, Subunit ATPase6 Gene|MTATP6|Mitochondrially Encoded ATP Synthase Gene|Mitochondrially Encoded ATP Synthase Membrane Subunit 6 wt Allele|Mitochondrially Encoded ATP Synthase Membrane Subunit A Gene|Spicular Retinitis Pigmentosa with Dementia, Seizures, Ataxia, Proximal Muscle Weakness and Sensory Deficit Gene|Su6m
human mt-atp6 wild-type allele is located within the circular mitochondrial (mt) chromosome and is approximately 681 bases in length. this allele, which encodes atp synthase subunit a protein, plays a role in proton-transport and atp synthesis. mutation of the gene is associated with neuropathy, ataxia, and retinitis pigmentosa (narp); leber hereditary optic neuropathy (lhon); leigh syndrome (ls); mitochondrial infantile bilateral striatal necrosis (mibsn); myopathy, lactic acidosis, and sideroblastic anemia 3 (mlasa3); adult-onset ataxia and polyneuropathy (apao); infantile hypertrophic cardiomyopathy (cmhi); and mitochondrial complex v (atp synthase) deficiency mitochondrial type 1 (mc5dm1).Muscle Weakness, Ped-PRO-CTCAE|Muscle weakness|Ped-PRO-CTCAE, Muscle Weakness
weakness of muscles as recorded on the ped-pro-ctcae questionnaire.
Patient EducationClinical
Muscle Disorders
Your muscles help you move and help your body work. Different types of muscles have different jobs. There are many problems that can affect muscles. Muscle disorders can cause weakness, pain or even paralysis.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert R53.1 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About R53.1Overview
Is R53.1 (Malaise and fatigue) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report weakness on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does R53.1 group to?
When weakness is the principal diagnosis on an inpatient stay, it groups to MS-DRG 947, 948, with relative weights from 0.8005 to 1.2694 depending on complications. Higher weights mean higher Medicare reimbursement.
Can R53.1 be a principal diagnosis?
Use it with care. This is a symptom code, so once a definitive diagnosis explaining the weakness is established, that condition takes the principal position instead.
What is the ICD-9 equivalent of R53.1?
Under the General Equivalence Mappings, weakness converts to ICD-9-CM 780.79 (malaise and fatigue NEC). The mapping is approximate, so confirm the match fits the documentation.
Footnotes
[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.
