ICD-10 R54
Billable / SpecificAge-related physical debility
About ICD-10-CM R54
ICD-10-CM code R54 represents Age-related physical debility. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R54). The 2026 edition of ICD-10-CM R54 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under R54. Per CMS ICD-10-CM Tabular 2026.
- Frailty
- Old age
- Senescence
- Senile asthenia
- Senile debility
Type 1 Excludes
Pure excludes, these codes can never be coded together with R54. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- age-related cognitive decline (R41.81)
- sarcopenia (M62.84)
- senile psychosis (F03.-)
- senility NOS (R41.81)
Medicare LCD Coverage for R54
Local Coverage Determinations (LCDs) from CMS MACs that list R54 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing R54.
1 Cigna
CPT Codes Commonly Billed with R54
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Convert R54 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| R54 | 797 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To R54
Other codes in section R50-R69 (General symptoms and signs).
ICD-10 R54, Billing FAQ
Is ICD-10 code R54 billable? +
Yes, R54 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 R54? +
ICD-10 R54 includes: Frailty; Old age; Senescence, and 2 more clinical synonyms.
What codes are Type 1 Excludes for R54? +
Type 1 Excludes (never code together with R54): age-related cognitive decline (R41.81); sarcopenia (M62.84); senile psychosis (F03.-)
What ICD-9 codes does R54 map to? +
Per CMS GEMs, R54 maps to ICD-9 codes: 797. 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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