Question 1

Is R54 a billable ICD-10 code?

Accepted Answer

Yes, R54 is a valid billable ICD-10-CM code for age-related physical debility. It can be used for medical billing and reimbursement purposes.

Question 2

What does ICD-10 code R54 mean?

Accepted Answer

ICD-10-CM code R54 represents Age-related physical debility. This code is part of the International Classification of Diseases, 10th Revision, Clinical Modification used for medical coding and billing in the United States.

Question 3

When was ICD-10 code R54 introduced?

Accepted Answer

Code R54 has been part of ICD-10-CM since 2016, when the coding system was mandated for use in the United States. This code was included in the original US implementation.

Question 4

What is the parent category for ICD-10 code R54?

Accepted Answer

The parent category for R54 is section:R50-R69 (General symptoms and signs (R50-R69)). This hierarchical classification helps organize related diagnoses for more accurate coding.

Question 5

What conditions are excluded from R54?

Accepted Answer

Code R54 has Type 1 Excludes (mutually exclusive conditions) including: age-related cognitive decline (R41.81); sarcopenia (M62.84); senile psychosis (F03.-) and 1 more conditions. These conditions cannot be coded together with R54 as they represent different diagnoses.

Question 6

What age group is ICD-10 code R54 intended for?

Accepted Answer

Code R54 is intended for adult patients (ages 15 and older). Using this code for young children may trigger an age conflict edit. This is a Medicare Code Editor (MCE) validation rule.

R542026

Excludes14Not coded together

Excludes24Not included here

Notes14Additional information

Also Known As10Alternative terms

Medicare Code Editor Rules1CMS coding restrictions