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R41.81

R41.81: Age-related cognitive decline

Billable / specific codeICD-10-CM

R41.81 is a billable, specific ICD-10-CM code for age-related cognitive decline. It is valid for submission on a claim.

Check R41.81 with the rest of the claim: free scrubber

Inclusion terms

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

  • Senility NOS

Excludes1 inherited from the categories above R41.81

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 R41.81

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

  • 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
  • R54Age-related physical debility

Risk adjustment

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

Medicare coverage

R41.81 is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A57130Billing and Coding: Psychiatric Codes
  • A57204Billing and Coding: MRI and CT Scans of the Head and Neck
  • A59036Billing and Coding: Cognitive Assessment and Care Plan Service
  • A59186Billing and Coding: Magnesium

Alphabetic index entries that lead here

  • Senile, senility
  • Decline›cognitive, age-associated
  • Frailty›mental
  • Symptoms NEC›involving›awareness›senile cognitive decline
  • Symptoms NEC›involving›cognitive functions›senile cognitive decline

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under R41.8

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.