Is ICD-10-CM code R41 billable?

No, R41 (Other symptoms and signs involving cognitive functions and awareness) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code R41 belong to?

R41 belongs to Chapter 18 of the ICD-10-CM tabular list: R00–R99 (Symptoms, Signs and Abnormal Clinical and Laboratory Findings).

R41Not billable, use a more specific code below

Other symptoms and signs involving cognitive functions and awareness

In Symptoms and signs involving cognition, perception, emotional state and behavior (R40-R46), chapter 18: Symptoms, Signs and Abnormal Clinical and Laboratory Findings

16 billable codes under R41: 1 is a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.

Instructional notes

Excludes1: not coded here, use a different code

dissociative [conversion] disorders (F44.-)
mild cognitive impairment of uncertain or unknown etiology (G31.84)

Also applies, from Symptoms and signs involving cognition, perception, emotional state and behavior (R40-R46)

These notes sit on R40-R46 and apply to every code under it, including R41.

Excludes2: not included here, code separately if applicable

symptoms and signs constituting part of a pattern of mental disorder (F01-F99)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Covers when to report symptom, sign, and abnormal finding codes (R00-R99), plus specific rules for falls, coma scales, non-infectious SIRS, death NOS, and NIHSS scores.

Use of symptom codes (page 75)
Use of a symptom code with a definitive diagnosis code (page 75)
Combination codes that include symptoms (page 75)
Repeated falls (page 76)
Coma (page 76)
Functional quadriplegia (page 76)
SIRS due to Non-Infectious Process (page 77)
Death NOS (page 77)

Read Section I.C.18 (page 75), 1 more topics

All codes under R41

R41 can't be used on a claim. Pick a billable code below; grey headings group them.

R41 MS-DRGs

As the principal diagnosis, the billable codes under R41 group to these 8 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

DRG 884 Organic Disturbances and Intellectual Disability (6 of 16 codes)
DRG 947 Signs and Symptoms with MCC (6 of 16 codes)
DRG 948 Signs and Symptoms without MCC (6 of 16 codes)
DRG 091 Other Disorders of Nervous System with MCC (2 of 16 codes)
DRG 092 Other Disorders of Nervous System with CC (2 of 16 codes)
DRG 093 Other Disorders of Nervous System without CC/MCC (2 of 16 codes)
DRG 886 Behavioral and Developmental Disorders (1 of 16 codes)
DRG 951 Other Factors Influencing Health Status (1 of 16 codes)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Mental Disorders

Mental disorders (or mental illnesses) are conditions that affect your thinking, feeling, mood, and behavior. They may happen over a short period of time or come and go. Some can be chronic (long-lasting). They can affect your ability to relate to others and function each day..

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.