R54 - Age-related physical debility

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

• Aging
• Aging
• Asthenia
• Asthenia
• Attacks of weakness
• Cachexia
• Distribution of body fat loss - finding
• Exhausted on least exertion
• Exhaustion
• Exhaustion - physiological
• Extreme old age
• Fatigability
• Fatigue
• Finding of general energy
• Frail elderly
• Frailty
• General health deterioration
• Generally unwell
• Lack of energy
• Lethargy
• Malaise
• Malaise and fatigue
• Old-age
• Old-age
• Problem of aging
• Quickly exhausted
• Senile asthenia
• Senile exhaustion
• Wasting disease

Clinical Information

• 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.
• Lethargy-. a general state of sluggishness, listless, or uninterested, with being tired, and having difficulty concentrating and doing simple tasks. it may be related to depression or drug addiction.
• Cachexia-. general ill health, malnutrition, and weight loss, usually associated with chronic disease.
• Frailty-. a state of increased vulnerability to stressors, following declines in function and reserves across multiple physiologic systems, characterized by muscle weakness; fatigue; slowed motor performance; low physical activity; and unintentional weight loss.
• Frail Elderly-. older adults or aged individuals who are lacking in general strength and are unusually susceptible to disease or to other infirmity.
• Asthenopia-. term generally used to describe complaints related to refractive error, ocular muscle imbalance, including pain or aching around the eyes, burning and itchiness of the eyelids, ocular fatigue, and headaches.
• Auditory Fatigue-. loss of sensitivity to sounds as a result of auditory stimulation, manifesting as a temporary shift in auditory threshold. the temporary threshold shift, tts, is expressed in decibels.
• Compassion Fatigue-. emotional distress caused by repeated or prolonged expression of compassion or empathy. it may occur in individuals working in care giving professions.
• Fatigue-. the state of weariness following a period of exertion, mental or physical, characterized by a decreased capacity for work and reduced efficiency to respond to stimuli.
• Fatigue Syndrome, Chronic-. a syndrome characterized by persistent or recurrent fatigue, diffuse musculoskeletal pain, sleep disturbances, and subjective cognitive impairment of 6 months duration or longer. symptoms are not caused by ongoing exertion; are not relieved by rest; and result in a substantial reduction of previous levels of occupational, educational, social, or personal activities. minor alterations of immune, neuroendocrine, and autonomic function may be associated with this syndrome. there is also considerable overlap between this condition and fibromyalgia. (from semin neurol 1998;18(2):237-42; ann intern med 1994 dec 15;121(12): 953-9)
• Fractures, Stress-. fractures due to the strain caused by repetitive exercise. they are thought to arise from a combination of muscle fatigue and bone failure, and occur in situations where bone remodeling predominates over repair. the most common sites of stress fractures are the metatarsus; fibula; tibia; and femoral neck.
• Heat Stress Disorders-. a group of conditions that develop due to overexposure or overexertion in excessive environmental heat.
• Mental Fatigue-. a condition of low alertness or cognitive impairment, usually associated with prolonged mental activities or stress.
• Muscle Fatigue-. a state arrived at through prolonged and strong contraction of a muscle. studies in athletes during prolonged submaximal exercise have shown that muscle fatigue increases in almost direct proportion to the rate of muscle glycogen depletion. muscle fatigue in short-term maximal exercise is associated with oxygen lack and an increased level of blood and muscle lactic acid, and an accompanying increase in hydrogen-ion concentration in the exercised muscle.
• Voice Disorders-. pathological processes that affect voice production, usually involving vocal cords and the laryngeal mucosa. voice disorders can be caused by organic (anatomical), or functional (emotional or psychological) factors leading to dysphonia; aphonia; and defects in voice quality, loudness, and pitch.
• Fibromyalgia-. a common nonarticular rheumatic syndrome characterized by myalgia and multiple points of focal muscle tenderness to palpation (trigger points). muscle pain is typically aggravated by inactivity or exposure to cold. this condition is often associated with general symptoms, such as sleep disturbances, fatigue, stiffness, headaches, and occasionally depression. there is significant overlap between fibromyalgia and the chronic fatigue syndrome (fatigue syndrome, chronic). fibromyalgia may arise as a primary or secondary disease process. it is most frequent in females aged 20 to 50 years. (from adams et al., principles of neurology, 6th ed, p1494-95)
• Fatigue, CTCAE 3.0|Fatigue (asthenia, lethargy, malaise)-. an unfavorable feeling of fatigue temporally associated with the use of a medical treatment or procedure.
• Grade 1 Fatigue, CTCAE|CTCAE Grade 1 Fatigue (asthenia, lethargy, malaise)|Grade 1 Fatigue|Grade 1 Fatigue (asthenia, lethargy, malaise)-. fatigue relieved by rest
• Grade 1 Malaise, CTCAE|Grade 1 Malaise-. uneasiness or lack of well being
• Grade 2 Fatigue, CTCAE|CTCAE Grade 2 Fatigue (asthenia, lethargy, malaise)|Grade 2 Fatigue|Grade 2 Fatigue (asthenia, lethargy, malaise)-. fatigue not relieved by rest; limiting instrumental adl
• Grade 2 Malaise, CTCAE|Grade 2 Malaise-. uneasiness or lack of well being limiting instrumental adl
• Grade 3 Fatigue, CTCAE|CTCAE Grade 3 Fatigue (asthenia, lethargy, malaise)|Grade 3 Fatigue|Grade 3 Fatigue (asthenia, lethargy, malaise)-. fatigue not relieved by rest, limiting self care adl
• Grade 3 Malaise, CTCAE|Grade 3 Malaise-. uneasiness or lack of well being limiting self-care adl
• Malaise-. a feeling of general discomfort or uneasiness, an out-of-sorts feeling.
• Malaise, CTCAE|Malaise|Malaise-. a disorder characterized by a feeling of general discomfort or uneasiness, an out-of-sorts feeling.
• Post-Exertional Malaise|Post Exertional Malaise-. a feeling of malaise after physical or mental effort or stress.

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

• Adult diagnoses - The Medicare Code Editor detects inconsistencies in adult cases by checking a patient's age and any diagnosis on the patient's record. The adult code edits apply to patients age range is 15–124 years inclusive (e.g., senile delirium, mature cataract).

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Code History

• FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
• FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
• FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
• FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
• FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
• FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
• FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
• FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)