Find comprehensive information on Lack of Energy diagnosis, including fatigue, asthenia, malaise, lethargy, and weakness. Explore clinical documentation tips, ICD-10 codes (R53.83), medical coding guidelines, and differential diagnosis considerations for healthcare professionals. Learn about symptoms, causes, and treatment options related to low energy levels and improve your patient care and medical record accuracy.
Also known as
Weakness and Fatigue
Covers generalized weakness and lack of energy.
Neurasthenia
Characterized by persistent fatigue and lack of energy.
Malaise and Fatigue
Describes a general feeling of discomfort and lack of energy.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is lack of energy due to a documented medical condition?
Yes
Is it chronic fatigue syndrome?
No
Is it due to burnout?
When to use each related code
| Description |
|---|
| Lack of Energy/Fatigue |
| Asthenia |
| Malaise |
Coding "lack of energy" without further clinical detail may lead to claim denials due to lack of specificity. Impacts reimbursement.
Focusing solely on fatigue may overlook underlying conditions (e.g., anemia, depression) crucial for accurate coding and care.
Vague documentation of fatigue can hinder accurate risk adjustment, affecting quality reporting and reimbursement in value-based care.
Patient presents with chief complaint of fatigue, lethargy, and lack of energy (asthenia), impacting daily activities. Symptoms include generalized weakness, tiredness, low motivation, difficulty concentrating, and reduced physical endurance. Onset of fatigue is reported as [gradual/sudden], with duration of [duration]. Patient denies fever, chills, or weight loss, but reports [sleep disturbances/decreased appetite/irritability/emotional lability]. Review of systems is otherwise unremarkable. Physical examination reveals no significant abnormalities. Vital signs are stable. Differential diagnosis includes hypothyroidism, anemia, depression, chronic fatigue syndrome, sleep apnea, and vitamin deficiencies. Ordered labs include complete blood count (CBC), comprehensive metabolic panel (CMP), thyroid stimulating hormone (TSH), and vitamin D levels to rule out underlying medical conditions. Assessment: Lack of energy, etiology undetermined. Plan: Patient education provided on lifestyle modifications including regular exercise, balanced nutrition, and improved sleep hygiene. Follow-up scheduled in [timeframe] to review lab results and discuss further management options depending on findings. ICD-10 code R53.83 (Weakness) may be considered pending further evaluation. Medical billing codes may include 99213 (Established patient office visit, level 3) or appropriate equivalent depending on complexity of visit.