ICD-10: ME, CFS
Part Three
US “Clinical Modification” ICD-10-CM
ICD-10-CM, a “Clinical Modification” of ICD-10, was implemented on October 1, 2015.
In ICD-10-CM Chronic fatigue syndrome is classified under Chapter 18: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99) at R53.82
For a history of the coding of PVFS, ME and CFS in ICD to March 2001, see the CDC document:
A Summary of Chronic Fatigue Syndrome and Its Classification in the International Classification of Diseases
Prepared by the Centers for Disease Control and Prevention, National Center for Health Statistics, Office of the Center Director, Data Policy and Standards, CDC archive document, March 2001.
Classifications and codings for ICD-10-CM:
ICD-10-CM TABULAR LIST of DISEASES and INJURIES
CHAPTER 18
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
[…] See document for full text
Note: This is not the ICD-10-CM Mental and Behavioural chapter which is:
CHAPTER 5
Mental and behavioral disorders (F01-F99)
Includes: disorders of psychological development
Excludes2: symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)
ICD-10-CM CHAPTER 18
Tabular List of Diseases and Injuries Page 954 2012 Release
R53 Malaise and fatigue
[…]
R53.8 Other malaise and fatigue
Excludes1: combat exhaustion and fatigue (F43.0)
congenital debility (P96.9)
exhaustion and fatigue due to:
depressive episode (F32.-)
excessive exertion (T73.3)
exposure (T73.2)
heat (T67.-)
pregnancy (O26.8-)
recurrent depressive episode (F33)
senile debility (R54)
R53.81 Other malaise
Chronic debility
Debility NOS
General physical deterioration
Malaise NOS
Nervous debility
Excludes1: age-related physical debility (R54)
R53.82 Chronic fatigue, unspecified
Chronic fatigue syndrome NOS
Excludes1: postviral fatigue syndrome (G93.3)
R53.83 Other fatigue
Fatigue NOS
Lack of energy
Lethargy
Tiredness
ICD-10-CM CHAPTER 6 Page 271 2012 release
Diseases of the nervous system (G00-G99)
Excludes2:
[…]
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
G93 Other disorders of brain
[…]
G93.3 Postviral fatigue syndrome
Benign myalgic encephalomyelitis
Excludes1: chronic fatigue syndrome NOS (R53.82)
dx revision watch 