Is R41 a billable ICD-10-CM code?

No. R41 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does R41 sit in the tabular list?

Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Symptoms and signs involving cognition, perception, emotional state and behavior (R40-R46).

What cannot be coded together with R41?

R41 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

R41

R41 — Other symptoms and signs involving cognitive functions and awareness

Non-billable headerICD-10-CM

R41 is a non-billable header ICD-10-CM code for other symptoms and signs involving cognitive functions and awareness. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

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

Other codes that can never be billed with R41

These codes carry an Excludes1 note pointing at R41. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading R41 alone.

R41.4Neurologic neglect syndrome
R41.82Altered mental status, unspecified
R54Age-related physical debility
G45.4Transient global amnesia
F04Amnestic disorder due to known physiological condition
F05Delirium due to known physiological condition
F06.7Mild neurocognitive disorder due to known physiological condition
F44.0Dissociative amnesia

Risk adjustment

R41 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead R41

7 child codes. Green means billable.

Questions about R41

Is R41 a billable ICD-10-CM code?: No. R41 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does R41 sit in the tabular list?: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Symptoms and signs involving cognition, perception, emotional state and behavior (R40-R46).
What cannot be coded together with R41?: R41 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.