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G93.32 vs R53.82

G93.32 (Myalgic encephalomyelitis/chronic fatigue syndrome) compared with R53.82 (Chronic fatigue, unspecified), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. G93.32 carries an Excludes1 note covering R53.82: “chronic fatigue NOS (R53.82)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

No — do not report together. R53.82 carries an Excludes1 note covering G93.32: “chronic fatigue syndrome (G93.32)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

No — do not report together. R53.82 carries an Excludes1 note covering G93.32: “myalgic encephalomyelitis (G93.32)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

G93.32Myalgic encephalomyelitis/chronic fatigue syndromeR53.82Chronic fatigue, unspecified
Billing statusBillableBillable
ClassificationG00-G99 — Diseases of the Nervous System (G00-G99)R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99)
DefinitionMyalgic encephalomyelitis/chronic fatigue syndrome is a billable ICD-10-CM diagnosis code (G93.32).Chronic fatigue, unspecified is a billable ICD-10-CM diagnosis code (R53.82).
Includes
Chronic fatigue syndrome
ME/CFS
Myalgic encephalomyelitis
Use additional code
code, if applicable, for post COVID-19 condition, unspecified (U09.9)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources