R54 — Age-related physical debility
Is R54 billable?
Yes — R54 is billable for FY2027. R54 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. R54 may be submitted for encounters from October 1, 2026 through September 30, 2027.
R54 at a glance
| Code | R54 |
|---|---|
| Description | Age-related physical debility |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does R54 group to?
R54 sits in MDC 19 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 884Organic Disturbances and Intellectual Disabilitymedical
How is R54 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to R54. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Catabolism, senile
- Frailty (frail)
- Old age (without mention of debility)
- Presbycardia
- Senectus
- Senescence (without mention of psychosis)
- Asthenia, asthenic › senile
- Atrophia › senilis
- Atrophy, atrophic › old age (of)
- Atrophy, atrophic › senile (of)
- Cachexia › old age
- Cachexia › senile
Excludes1 — never code together
The conditions below can never be reported together with R54 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Inclusion terms
Alternative wording in documentation that is classified to R54.
- Frailty
- Old age
- Senescence
- Senile asthenia
- Senile debility
Excludes2 — not included here — inherited from Chapter 18
The conditions below are not part of R54, but a patient may have both at the same time. When documentation supports it, R54 and the excluded code may both be reported.
How long has R54 existed?
R54 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
Which codes are confused with R54?
ICD-10-CM declares these codes mutually exclusive with R54 — exactly one of each pair can be correct for a given encounter.