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R41.8

R41.8Other symptoms and signs involving cognitive functions and awareness

Non-billable headerICD-10-CM

R41.8 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.

Other codes that can never be billed with R41.8

These codes carry an Excludes1 note pointing at R41.8. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading R41.8 alone.

  • R41.4Neurologic neglect syndrome
  • R54Age-related physical debility
  • F06.7Mild neurocognitive disorder due to known physiological condition
  • G30Alzheimer's disease
  • G31.1Senile degeneration of brain, not elsewhere classified
  • G31.84Mild cognitive impairment of uncertain or unknown etiology

Risk adjustment

R41.8 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 R41.8

6 child codes. Green means billable.

Related codes at this level

Codes that share R41. If R41.8 is not quite right, the correct code is usually one of these.

Questions about R41.8

Is R41.8 a billable ICD-10-CM code?
No. R41.8 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does R41.8 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).
ICD-10-CMFY2026-Apr· effective April 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.