ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 R53.83

Billable / Specific

Other fatigue

R53
Block
4
Synonyms
243
LCDs
22
Payer Policies
6
Linked CPTs

About ICD-10-CM R53.83

ICD-10-CM code R53.83 represents Other fatigue. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R53). The 2026 edition of ICD-10-CM R53.83 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under R53.83. Per CMS ICD-10-CM Tabular 2026.

  • Fatigue NOS
  • Lack of energy
  • Lethargy
  • Tiredness

Type 2 Excludes

Not included here, the excluded code is not part of R53.83, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.

  • exhaustion and fatigue due to depressive episode (F32.-)

Medicare LCD Coverage for R53.83

Local Coverage Determinations (LCDs) from CMS MACs that list R53.83 as a covered diagnosis.

243 LCDs

Showing top 10 of 243 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95909 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95887 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95912 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95999 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95910 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95870 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95860 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95913 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT 95869 →
CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography
Article ID: 57668, Effective: 2025-10-01 00:00:00, 1629 covered, 0 non-covered
CPT G0255 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing R53.83.

22 policies

4 Aetna

Obstructive Sleep Apnea in Adults - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0004
Cholecystokinin Cholescintigraphy
Policy ID: CPB-0266
Multiple Sleep Latency Test (MSLT) and Maintenance of Wakefulness Test (MWT)
Policy ID: CPB-0330
Chronic Fatigue Syndrome
Policy ID: CPB-0369

2 Cigna

Transvaginal Ultrasound, Non-Obstetrical - (0398)
Policy ID: MM_0398
Vitamin D Testing - (0526) ---- future effective policy
Policy ID: MM_0526

5 Medicare

Billing and Coding: Nerve Conduction Studies and Electromyography
Policy ID: ART-54095
Billing and Coding: Nerve Conduction Studies and Electromyography
Policy ID: ART-54969
Billing and Coding: Nerve Conduction Studies and Electromyography
Policy ID: ART-56619
Billing and Coding: Parathormone (Parathyroid Hormone)
Policy ID: ART-57122
Billing and Coding: Nerve Conduction Studies and Electromyography
Policy ID: ART-57123

CPT Codes Commonly Billed with R53.83

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

6 linkages
  • 99202 New patient office visit — fever, headache, abdominal pain, cough, dyspnea, fatigue, dizziness, limb pain, nausea, routine exam, URI, UTI, pharyngitis, otitis, chest pain, weight loss Primary Care
  • 99203 New patient office visit — common complaints plus chronic conditions: HTN, diabetes, hyperlipidemia, asthma, GERD, back pain, migraine, tachycardia, prediabetes Primary Care
  • 99213 Established patient — HTN follow-up, diabetes management, hyperlipidemia, asthma, anxiety, common complaints, back pain, GERD, migraine, acne, joint pain, prediabetes, obesity, anemia, hypothyroid, fatigue Primary Care
  • 85025 CBC with differential — anemia, iron deficiency, fatigue, thrombocytopenia, neutropenia, leukemia, lymphoma, abnormal labs, routine exam, screening, fever, elevated WBC Laboratory
  • 85027 CBC automated — anemia, iron deficiency, fatigue, routine exam, abnormal labs, melena, hematemesis Laboratory
  • 84443 TSH — hypothyroidism, hyperthyroidism, thyroiditis, weight loss, weight gain, post-surgical hypothyroidism, fatigue, routine exam, screening Laboratory

Convert R53.83 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
R53.83 78079 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 R53.83, Billing FAQ

Is ICD-10 code R53.83 billable? +

Yes, R53.83 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to R53.83? +

ICD-10 R53.83 includes: Fatigue NOS; Lack of energy; Lethargy, and 1 more clinical synonyms.

What codes are Type 2 Excludes for R53.83? +

Type 2 Excludes (may be coded together when both conditions exist): exhaustion and fatigue due to depressive episode (F32.-)

What CPT codes are commonly billed with R53.83? +

Procedures frequently paired with R53.83 include: 99202, 99203, 99213, 85025, 85027.

What ICD-9 codes does R53.83 map to? +

Per CMS GEMs, R53.83 maps to ICD-9 codes: 78079. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on June 1, 2026.

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