R53.8
R53.8: Other malaise and fatigue
Non-billable headerICD-10-CM
R53.8 is a non-billable header ICD-10-CM code for other malaise and fatigue. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- combat exhaustion and fatigue (F43.0)
- congenital debility (P96.9)
- exhaustion and fatigue due to excessive exertion (T73.3)
- exhaustion and fatigue due to exposure (T73.2)
- exhaustion and fatigue due to heat (T67.-)
- exhaustion and fatigue due to pregnancy (O26.8-)
- exhaustion and fatigue due to recurrent depressive episode (F33-)
- exhaustion and fatigue due to senile debility (R54)
Other codes that can never be billed with R53.8
Their own Excludes1 notes name this code, so the conflict is not listed above.
- G93.3Postviral and related fatigue syndromes
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead R53.8
3 child codes. Green means billable.