MCMedicalCodingSoftware
R41.4

R41.4: Neurologic neglect syndrome

Billable / specific codeICD-10-CM

R41.4 is a billable, specific ICD-10-CM code for neurologic neglect syndrome. It is valid for submission on a claim.

Check R41.4 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.

Inclusion terms

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

  • Asomatognosia
  • Hemi-akinesia
  • Hemi-inattention
  • Hemispatial neglect
  • Left-sided neglect
  • Sensory neglect
  • Visuospatial neglect

Excludes1 inherited from the categories above R41.4

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 R41.4

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

  • F06.7Mild neurocognitive disorder due to known physiological condition
  • G31.84Mild cognitive impairment of uncertain or unknown etiology

Risk adjustment

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

Medicare coverage

R41.4 is named in 16 Medicare coverage policies: 16 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A53052Billing and Coding: Home Health Speech-Language Pathology
  • A53057Billing and Coding: Home Health Occupational Therapy
  • A53058Billing and Coding: Home Health Physical Therapy
  • A53064Billing and Coding: Outpatient Occupational Therapy

Alphabetic index entries that lead here

  • Asomatognosia
  • Hemi-akinesia
  • Hemi-inattention
  • Neglect›hemispatial
  • Neglect›left-sided
  • Neglect›sensory
  • Neglect›visuospatial
  • Syndrome›alien hand
  • Syndrome›neurologic neglect
  • Symptoms NEC›involving›awareness›neurologic neglect syndrome
  • Symptoms NEC›involving›cognitive functions›neurologic neglect syndrome

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under R41

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.