ICD-10-CM 2027
ICD-10 code for old age
From the official ICD-10-CM alphabetic index entry “Old age (without mention of debility)”. Page updated September 29, 2026.
About coding old age
The ICD-10-CM code for old age is R54 (Age-related physical debility). The official index lists 1 more specific code, so check the documentation for details such as type, cause, site or severity before settling on R54.
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.
More specific old age codes (official index)
- dementia F03 — Unspecified dementia
Don't confuse with (Excludes1 for R54)
Common questions about old age ICD-10 codes
What is the ICD-10 code for old age?
- R54 — Age-related physical debility. More specific codes apply when the documentation supports them: F03.
What is the ICD-10 code for dementia old age?
- F03 — Unspecified dementia (header code; choose a more specific subcode).
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.