Deconditioning ICD-10-CM Codes

What ICD-10 codes are used for deconditioning?

Deconditioning refers to the decline in physical or cardiovascular fitness due to prolonged inactivity or immobilization. Accurate coding is essential for proper documentation and billing. Below are commonly used ICD-10-CM codes for deconditioning, along with their comprehensive clinical descriptions:

• R53.81 - Other malaise: A disorder characterized by a feeling of general discomfort or uneasiness, an out-of-sorts feeling. This is often the most specific and commonly used code for deconditioning in clinical practice.
• M62.81 - Muscle weakness (generalized): Generalized muscle strength and function loss due to deconditioning or lack of physical activity.
• R53.1 - Weakness: This code indicates weakness and asthenia caused by deconditioning or prolonged inactivity.
• Z74.01 - Bed confinement status: Indicates the patient's status of being confined to bed due to illness or other reasons, often leading to deconditioning.
• Z72.9 - Problem related to lifestyle, unspecified: This can be used on patient confirmed to have lifestyle problems (like having a sedentary lifestyle) that can lead to deconditioning.
• Z99.3 - Dependence on wheelchair: This can be used on a patient confirmed to be reliant on wheelchairs.
• R26.2—Difficulty in walking, not elsewhere classified: This code can be used on a patient confirmed to have difficulty in walking. It can also be used if a patient is reliant on walking aids.

Which deconditioning ICD codes are billable?

All of the aforementioned deconditioning ICD codes are valid and billable.

Clinical information

• Deconditioning refers to decreased physical fitness and functional capacity due to reduced physical activity or prolonged bed rest.
• It can occur in various populations, including the elderly, individuals with chronic illnesses, and patients recovering from prolonged hospitalization.
• Common consequences of deconditioning include muscle weakness, decreased cardiovascular endurance, and reduced flexibility.
• Symptoms may include fatigue, shortness of breath, and difficulty performing everyday activities.
• Deconditioning can lead to an increased risk of falls and functional limitations.
• Regular physical activity and exercise are crucial in preventing and reversing deconditioning.
• For individuals with deconditioning, a gradual and supervised exercise program by healthcare providers is recommended to rebuild strength and endurance safely.
• In certain cases, physical therapy or rehabilitation may be beneficial to improve functional status and mobility.
• Early intervention and lifestyle modifications can help prevent or minimize the effects of deconditioning on overall health and well-being. Physical therapists and medical professionals can help with these.

Synonyms include

• Muscle deconditioning
• Physical deconditioning
• Immobility-related weakness
• Sedentary deconditioning
• Disuse atrophy
• Age-related physical debility NOS (not otherwise specified)
• General physical deterioration malaise NOS
• Deconditioning indicated in patient's medical history
• Deconditioning due to physical inactivity
• Deconditioning due to recurrent depressive episodes
• Deconditioned status accompanying a medical diagnosis
• Deconditioning with reduced skeletal muscle mass
• Weak physical abilities
• Weak physical function

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