ICD-10-CM Code R54

Valid for Submission

R54 is a billable code used to specify a medical diagnosis of age-related physical debility. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code R54 might also be used to specify conditions or terms like aging, aging, aging, aging, asthenia, attacks of weakness, etc

The code R54 is applicable to adult patients aged 15 through 124 years inclusive. It is clinically and virtually impossible to use this code on a patient outside the stated age range.

According to ICD-10-CM guidelines this code should not to be used as a principal diagnosis code when a related definitive diagnosis has been established.

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 R54:

Inclusion Terms

Inclusion Terms
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.

• Frailty
• Old age
• Senescence
• Senile asthenia
• Senile debility

Type 1 Excludes

Type 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.

• age-related cognitive decline R41.81
• sarcopenia M62.84
• senile psychosis F03
• senility NOS R41.81

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code R54 are found in the index:

• - Asthenia, asthenic - R53.1
  • - senile - R54

• - Atrophia - See Also: Atrophy;
  • - senilis - R54

• - Atrophy, atrophic (of)
  • - old age - R54
  • - senile - R54

• - Cachexia - R64
  • - old age - R54
  • - senile - R54

• - Catabolism, senile - R54

• - Change (s) (in) (of) - See Also: Removal;
  • - senile - See Also: condition; - R54

• - Debility (chronic) (general) (nervous) - R53.81
  • - old age - R54
  • - senile - R54

• - Decay
  • - senile - R54

• - Degeneration, degenerative
  • - senile - R54

• - Deterioration
  • - senile (simple) - R54

• - Dysfunction
  • - senile - R54

• - Exhaustion, exhaustive (physical NEC) - R53.83
  • - old age - R54
  • - senile - R54

• - Failure, failed
  • - senile (general) - R54

• - Fatigue - R53.83
  • - senile - R54

• - Fibrosis, fibrotic
  • - senile - R54

• - Frailty (frail) - R54

• - Infirmity - R68.89
  • - senile - R54

• - Marasmus - E41
  • - senile - R54

• - Old age (without mention of debility) - R54

• - Presbycardia - R54

• - Prostration - R53.83
  • - senile - R54

• - Senectus - R54

• - Senescence (without mention of psychosis) - R54

• - Senile, senility - See Also: condition; - R41.81
  • - asthenia - R54
  • - debility - R54
  • - heart (failure) - R54

• - Tremor (s) - R25.1
  • - senilis - R54

• - Weak, weakening, weakness (generalized) - R53.1
  • - senile - R54

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 - Adult. Age range is 15–124 years inclusive (e.g., senile delirium, mature cataract).

Synonyms

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

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

Convert R54 to ICD-9

• 797 - Senility w/o psychosis (Approximate Flag)

Code Classification

• Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00–R99)
  • General symptoms and signs (R50-R69)
    • Age-related physical debility (R54)

Code History

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

Tools

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• Convert R54 to ICD-9