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ICD-10-CM 2027 diagnosis code

R54Age-related physical debility

✓ Billable / specificAdult · age 15–124

R54 is a valid, billable ICD-10-CM code for age-related physical debility. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.

Looking up by condition? See ICD-10 code for Frailty, ICD-10 code for Old age, ICD-10 code for Senectus, ICD-10 code for Catabolism.

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About R54

R54 is the ICD-10-CM diagnosis code for age-related physical debility. It belongs to block R50-R69 (general symptoms and signs) and chapter 18 (symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Don't report R54 together with the conditions in its Excludes1 note: age-related cognitive decline (R41.81), sarcopenia (M62.84), senile psychosis (F03.-) and senility NOS (R41.81).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 884 (Organic Disturbances and Intellectual Disability, relative weight 1.6001), in MDC 19 (Mental Diseases and Disorders), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

The Medicare Code Editor expects this diagnosis only for patients age 15 through 124.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 797 (Senility without mention of psychosis).

Coding notes

Applicable toConditions and synonyms classified to this code
  • Frailty
  • Old age
  • Senescence
  • Senile asthenia
  • Senile debility
Excludes1Not coded here — never report together with this code

Notes that apply from higher levels

Instructions written at a parent level also apply to R54.

Broader instructions also apply from Chapter 18: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified.

Alphabetic index entries

32 entries

Terms in the official ICD-10-CM index that lead to R54.

Codes whose notes reference R54

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

ICD-9-CM equivalent

Converter →
  • 797Senility without mention of psychosisapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about R54

Is R54 billable?

Yes. R54 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can R54 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict R54 as a principal diagnosis.

Is R54 a CC or MCC?

No. R54 is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does R54 group to?

R54 is used in the MS-DRG v44.0 logic for MS-DRG 884 (Organic Disturbances and Intellectual Disability). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for R54?

The CMS General Equivalence Mappings map R54 to ICD-9-CM 797.