2026 ICD-10-CM Diagnosis Code R64
Cachexia
- ICD-10-CM Code:
- R64
- ICD-10 Code for:
- Cachexia
- Is Billable?
- Yes - Valid for Submission
- Chronic Condition Indicator: [1]
- Chronic
- Code Navigator:
R64 is a billable diagnosis code used to specify a medical diagnosis of cachexia. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2025 through September 30, 2026.
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.
Approximate Synonyms
The following list of clinical terms are approximate synonyms, alternative descriptions, or common phrases that might be used by patients, healthcare providers, or medical coders to describe the same condition. These synonyms and related diagnosis terms are often used when searching for an ICD-10 code, especially when the exact medical terminology is unclear. Whether you're looking for lay terms, similar diagnosis names, or common language alternatives, this list can help guide you to the correct ICD-10 classification.
- Abnormal weight loss
- Abnormal weight loss
- Abnormal weight loss associated with AIDS
- Abnormal weight loss associated with AIDS
- AIDS wasting syndrome
- Cachexia
- Cachexia
- Cachexia
- Cachexia
- Cachexia
- Cachexia associated with AIDS
- Café au lait spots
- Cardiac cachexia
- Diffuse dermatitis
- Distribution of body fat loss - finding
- Distribution of body fat loss - finding
- Distribution of body fat loss - finding
- Distribution of body fat loss - finding
- Distribution of body fat loss - finding
- Emaciated
- Facial dysmorphism, anorexia, cachexia, eye and skin anomalies syndrome
- Inanition
- Malignant cachexia
- Muscle cachexia
- Severe dermatitis, multiple allergies, metabolic wasting syndrome
- Severe systemic illness tissue wasting
- Weight decreased
- Weight decreased
Clinical Classification
Clinical Classifications group individual ICD-10-CM diagnosis codes into broader, clinically meaningful categories. These categories help simplify complex data by organizing related conditions under common clinical themes.
They are especially useful for data analysis, reporting, and clinical decision-making. Even when diagnosis codes differ, similar conditions can be grouped together based on their clinical relevance. Each category is assigned a unique CCSR code that represents a specific clinical concept, often tied to a body system or medical specialty.
Other general signs and symptoms
CCSR Code: SYM016
Inpatient Default: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.
Outpatient Default: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
Clinical Information
Cachexia
general ill health, malnutrition, and weight loss, usually associated with chronic disease.
Tabular List of Diseases and Injuries
The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.
Type 1 Excludes
Type 1 ExcludesA 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 Injuries References
The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).
- Emaciation - R64
- Inanition - R64
Index of External Cause of Injuries
References found for this diagnosis code in the External Cause of Injuries Index:
- Cachexia
- Cachexia
- cancerous
- Cachexia
- malignant
- Cachexia
- pulmonary
- Emaciation
- Inanition
Convert R64 to ICD-9-CM
Below are the ICD-9 codes that most closely match this ICD-10 code, based on the General Equivalence Mappings (GEMs). This ICD-10 to ICD-9 crosswalk tool is helpful for coders who need to reference legacy diagnosis codes for audits, historical claims, or approximate code comparisons.
Cachexia
ICD-9-CM: 799.4
This is a direct match with no additional mapping qualifiers. The absence of a flag generally means the mapping is considered exact or precise. In other words, the ICD-10 code maps cleanly to the ICD-9 code without qualification, approximation, or needing multiple codes.
Patient Education
Malnutrition
What is malnutrition?
Malnutrition means that your body isn't getting enough calories or the right balance of nutrients to stay healthy. This can happen if you don't get enough protein, carbohydrates, and fats, eat too much unhealthy food, or don't get the vitamins and minerals your body needs.
Malnutrition can affect people of all ages, but children, older adults, and people with chronic (long-term) health problems have a higher risk.
What are the types of malnutrition?
Most people think of undernutrition with malnutrition. But malnutrition can refer to undernutrition, overnutrition, or an imbalance of nutrients.
Types of malnutrition include:
- Protein-energy undernutrition, also called macronutrient undernutrition, happens when your body doesn't get enough protein or calories from food. Two serious forms of this are kwashiorkor and marasmus.
- An imbalanced nutritional status occurs when you are not getting the right mix of nutrients. You may get enough calories, but not enough vitamins or minerals.
- Vitamin deficiency diseases happen when your body doesn't get enough of certain vitamins. Without the right vitamins, your body cannot stay healthy and may develop specific diseases. For example, scurvy can develop from too little vitamin C, rickets from too little vitamin D, and anemia from too little iron or vitamin B12.
- Failure to thrive occurs when children don't gain weight or grow as expected. This may be due to not getting enough food, trouble absorbing nutrients, or other health problems.
- Overnutrition can occur when your body gets too many calories or nutrients. This may lead to obesity or other health issues.
What causes malnutrition?
Malnutrition may occur for many reasons, including:
- An unbalanced diet that lacks variety or specific nutrients.
- Some medical issues, which could include malabsorption syndromes, dementia, eating disorders, depression, alcohol use disorder (AUD), or cancer.
- Problems with swallowing, digestion, or dental issues.
- Certain medicines that affect how food tastes and smells.
- Not being able to get food or cook due to things such as chronic illness, mobility issues, or low income.
Who is at risk for developing malnutrition?
Malnutrition can affect anyone, but some people have a higher risk than others. This includes people who:
- Don't have enough knowledge about nutrition
- Don't have access to a variety of food
- Are older adults or children
- Have a low income
- Have a chronic (long-term) illness
What are the symptoms of malnutrition?
The symptoms of malnutrition can vary. You may have no symptoms, but if you do, they may include:
- Fatigue and weakness
- Dizziness
- Losing weight without trying
- Low body weight
- Slow growth or development in children
- Frequent infections or slow healing
- Dry skin or brittle hair and nails
- Swelling in the legs, feet, or belly
How is malnutrition diagnosed?
To check for malnutrition, your provider may:
- Do a nutritional screening, which may include questions about weight loss, changes in your appetite, and your ability to eat.
- Do a physical exam and order blood tests to check for signs that you don't have enough nutrients.
- Refer you to other providers that specialize in nutrition, such as a dietician.
What are the treatments for malnutrition?
Treatment for malnutrition may include improving your diet, replacing missing nutrients, and treating the underlying cause.
Can malnutrition be prevented?
To help prevent malnutrition, eat a healthy diet with many different foods. Talk with your provider if you are worried about your diet, weight loss, or your child's growth.
[Learn More in MedlinePlus]
Code History
- FY 2026 - No Change, effective from 10/1/2025 through 9/30/2026
- FY 2025 - No Change, effective from 10/1/2024 through 9/30/2025
- FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
- 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. This was the first year ICD-10-CM was implemented into the HIPAA code set.
Footnotes
[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:
- The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
- The condition places limitations on self-care, independent living, and social interactions.