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R41.82

R41.82: Altered mental status, unspecified

Billable / specific codeICD-10-CM

R41.82 is a billable, specific ICD-10-CM code for altered mental status, unspecified. It is valid for submission on a claim.

Check R41.82 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.

  • altered level of consciousness (R40.-)
  • altered mental status due to known condition - code to condition
  • delirium NOS (R41.0)

Inclusion terms

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

  • Change in mental status NOS

Excludes1 inherited from the categories above R41.82

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 R41.82

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

R41.82 is named in 21 Medicare coverage policies: 20 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which one applies depends on your Medicare contractor.

  • A57497Billing and Coding: Chest X-Ray Policynot covered
  • A54799Billing and Coding: Urine Drug Testing
  • A56416Billing and Coding: Assays for Vitamins and Metabolic Function
  • A56612Billing and Coding: CT of the Head

Alphabetic index entries that lead here

  • Alteration, Altered›mental status
  • Change›mental status
  • Symptoms NEC›involving›awareness›altered mental status
  • Symptoms NEC›involving›cognitive functions›altered mental status

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.