2025 ICD-10-CM code G93.32
(Active) Effective Date: N/A Diseases of the nervous system - Other disorders of the nervous system 6 (Diseases of the Nervous System) Feed
Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). This code encompasses both myalgic encephalomyelitis and chronic fatigue syndrome.
Medical necessity for treatment of ME/CFS is based on the established clinical diagnosis and the impact of symptoms on the patient's ability to function.Documentation should support the severity of symptoms and the need for medical intervention.
Diagnosis and management of ME/CFS requires a comprehensive approach involving various healthcare professionals.Physicians play a crucial role in diagnosing the condition, ruling out other potential causes, and coordinating care. They also educate patients about the illness and its management.
In simple words: This code is used for a condition called ME/CFS.It's a serious illness that causes extreme tiredness, problems with sleep, thinking, and memory, and other symptoms. A key feature is that symptoms get worse after physical or mental activity, even minor exertion.
Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a complex, debilitating illness characterized by profound fatigue, post-exertional malaise (PEM), sleep disturbances, and cognitive dysfunction.It may also include a range of other symptoms such as orthostatic intolerance, immune dysfunction, and pain.
Example 1: A 35-year-old patient presents with persistent fatigue lasting more than six months, post-exertional malaise, unrefreshing sleep, and cognitive impairment. After ruling out other medical conditions, the physician diagnoses ME/CFS and uses G93.32., A patient with a history of COVID-19 experiences ongoing fatigue, cognitive difficulties, and post-exertional malaise several months after the initial infection. The physician diagnoses ME/CFS as a post-COVID condition and uses G93.32 along with U09.9., A teenager experiences severe fatigue, difficulty concentrating, and orthostatic intolerance, impacting their ability to attend school.After extensive testing and evaluation, ME/CFS is diagnosed, and G93.32 is used.
Thorough documentation of symptoms, including the hallmark symptoms of PEM, fatigue, sleep disturbances, and cognitive dysfunction, is essential.The documentation should also include the duration of symptoms, impact on daily activities, and results of any diagnostic tests performed to rule out other conditions.
- Payment Status: Active
- Specialties:Internal Medicine, Family Medicine, Infectious Disease, Immunology, Neurology
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Telehealth Provided in Patient’s Home, Telehealth Provided Other than in Patient’s Home