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ICD-10 Guide
ICD-10 CodesG93.39

G93.39

Billable

Other post infection and related fatigue syndromes

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 G93.39 is a billable code used to indicate a diagnosis of other post infection and related fatigue syndromes.

Key Diagnostic Point:

G93.39 encompasses a variety of conditions characterized by persistent fatigue and other symptoms following an infection. These syndromes can manifest as pain syndromes, autonomic disorders, and other nervous system disorders. Patients may experience chronic pain, cognitive dysfunction, sleep disturbances, and autonomic dysregulation, which can significantly impair their quality of life. The pathophysiology of these syndromes is not fully understood but may involve immune system dysregulation, neuroinflammation, and mitochondrial dysfunction. Conditions such as post-viral fatigue syndrome, myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), and fibromyalgia may fall under this code when they are linked to a preceding infection. Diagnosis often requires a thorough clinical evaluation, including a detailed history of the infection, symptom assessment, and exclusion of other potential causes of fatigue. The complexity of these syndromes lies in their multifactorial nature, requiring a multidisciplinary approach for management and treatment.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Variety of symptoms that can overlap with other conditions
  • Need for comprehensive patient history and documentation
  • Potential for misdiagnosis with similar syndromes
  • Variability in clinical presentation among patients

Audit Risk Factors

  • Inadequate documentation of prior infections
  • Failure to document the duration and severity of symptoms
  • Misalignment between diagnosis and treatment provided
  • Lack of follow-up documentation

Specialty Focus

Medical Specialties

Infectious Disease

Documentation Requirements

Detailed history of infection, symptomatology, and treatment response.

Common Clinical Scenarios

Patients presenting with fatigue and pain following viral infections.

Billing Considerations

Consideration of co-infections and their impact on fatigue.

Neurology

Documentation Requirements

Neurological assessments, cognitive evaluations, and symptom tracking.

Common Clinical Scenarios

Patients with neurological symptoms post-infection, such as headaches and cognitive dysfunction.

Billing Considerations

Differentiating between primary neurological disorders and post-infection syndromes.

Coding Guidelines

Inclusion Criteria

Use G93.39 When
  • According to ICD
  • 10 guidelines, G93
  • 39 should be used when the fatigue syndrome is directly linked to a prior infection
  • Coders must ensure that the documentation supports the connection between the infection and the fatigue symptoms

Exclusion Criteria

Do NOT use G93.39 When
  • Exclusion criteria include conditions that are not related to prior infections

Related ICD-10 Codes

Related CPT Codes

99214CPT Code

Established patient office visit, level 4

Clinical Scenario

Used for follow-up visits for patients with post-infection fatigue syndromes.

Documentation Requirements

Detailed history of symptoms, treatment response, and any new findings.

Specialty Considerations

Infectious disease specialists should document the connection to prior infections.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of post-infection fatigue syndromes, improving the ability to capture the complexity of these conditions and their impact on patient care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of post-infection fatigue syndromes, improving the ability to capture the complexity of these conditions and their impact on patient care.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    CDC Post-Viral Fatigue Syndrome Resources

Coding & Billing References

  • •
    CDC Post-Viral Fatigue Syndrome Resources

Frequently Asked Questions

What symptoms are associated with G93.39?

Symptoms may include persistent fatigue, pain, cognitive dysfunction, sleep disturbances, and autonomic dysregulation following an infection.

How do I document for G93.39?

Documentation should include a detailed history of the infection, symptom onset, duration, and any treatments provided, ensuring a clear connection between the infection and the fatigue syndrome.