R41.3

R41.3: Other amnesia

Billable / specific codeICD-10-CM

R41.3 is a billable, specific ICD-10-CM code for other amnesia. It is valid for submission on a claim.

Check R41.3 with the rest of the claim: free scrubber

Excludes1: never code together

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

amnestic disorder due to known physiologic condition (F04)
amnestic syndrome due to psychoactive substance use (F10-F19 with 5th character .6)
mild memory disturbance due to known physiological condition (F06.8)
transient global amnesia (G45.4)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Amnesia NOS
Memory loss NOS

Excludes1 inherited from the categories above R41.3

A category’s note binds every code beneath it.

Written on R41: Other symptoms and signs involving cognitive functions and awareness

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

Other codes that can never be billed with R41.3

Their own Excludes1 notes name this code, so the conflict is not listed above.

F04Amnestic disorder due to known physiological condition
F44.0Dissociative amnesia
G45.4Transient global amnesia

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

R41.3 is named in 16 Medicare coverage policies: 16 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A53134Billing and Coding: NCD Coding Article for Positron Emission Tomography (PET) Scans Used for Non-Oncologic Conditions
A54969Billing and Coding: Nerve Conduction Studies and Electromyography
A56416Billing and Coding: Assays for Vitamins and Metabolic Function
A56612Billing and Coding: CT of the Head