R53.1

R53.1: Weakness

Billable / specific codeICD-10-CM

R53.1 is a billable, specific ICD-10-CM code for weakness. It is valid for submission on a claim.

Check R53.1 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

age-related weakness (R54)
muscle weakness (generalized) (M62.81)
sarcopenia (M62.84)
senile asthenia (R54)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Asthenia NOS

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

R53.1 is named in 17 Medicare coverage policies: 17 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A54969Billing and Coding: Nerve Conduction Studies and Electromyography
A56612Billing and Coding: CT of the Head
A56619Billing and Coding: Nerve Conduction Studies and Electromyography
A56747Billing and Coding: Magnetic Resonance Angiography (MRA)

Alphabetic index entries that lead here

Asthenia, asthenic
Weak, weakening, weakness(generalized)

Code history

Unchanged in every release from FY2024 to FY2027.