R41Non-billable

Other symptoms and signs involving cognitive functions and awareness

Symptoms, Signs and Abnormal Clinical and Laboratory Findings·Symptoms and signs involving cognition, perception, emotional state and behavior (R40-R46)·category·FY 2026

CH18 Parent Instructions

Excludes2(Not included here. Code separately if applicable.)
  • abnormal findings on antenatal screening of mother (O28.-)
  • certain conditions originating in the perinatal period (P04-P96)
  • signs and symptoms classified in the body system chapters
  • signs and symptoms of breast (N63, N64.5)

R40-R46 Parent Instructions

Excludes2(Not included here. Code separately if applicable.)
  • symptoms and signs constituting part of a pattern of mental disorder (F01-F99)

Instructional Notes

Excludes1(Not coded here. Use a different code.)
  • dissociative [conversion] disorders (F44.-)
  • mild cognitive impairment of uncertain or unknown etiology (G31.84)

Clinical Hierarchy

BillableHas subcodes
CH18Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
R40-R46Symptoms and signs involving cognition, perception, emotional state and behavior (R40-R46)
R41Other symptoms and signs involving cognitive functions and awarenessNot billable
R41.0Disorientation, unspecifiedBillable
R41.1Anterograde amnesiaBillable
R41.2Retrograde amnesiaBillable
R41.3Other amnesiaBillable
R41.4Neurologic neglect syndromeBillable
R41.8Other symptoms and signs involving cognitive functions and awarenessSubcodes
R41.9Unspecified symptoms and signs involving cognitive functions and awarenessBillable

MS-DRG Classification

2026

No direct MS-DRG triggers identified.