R48.1

R48.1: Agnosia

Billable / specific codeICD-10-CM

R48.1 is a billable, specific ICD-10-CM code for agnosia. It is valid for submission on a claim.

Check R48.1 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.

visual object agnosia (R48.3)

Inclusion terms

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

Astereognosia (astereognosis)
Autotopagnosia

Excludes1 inherited from the categories above R48.1

A category’s note binds every code beneath it.

Written on R48: Dyslexia and other symbolic dysfunctions, not elsewhere classified

specific developmental disorders of scholastic skills (F81.-)

Risk adjustment

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

Medicare coverage

R48.1 is named in 14 Medicare coverage policies: 14 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52866Billing and Coding: Speech-Language Pathology
A53052Billing and Coding: Home Health Speech-Language Pathology
A53057Billing and Coding: Home Health Occupational Therapy
A53058Billing and Coding: Home Health Physical Therapy

Alphabetic index entries that lead here

Agnosia(body image) (other senses) (tactile)
Astereognosia, astereognosis
Autotopagnosia
Agnosia›verbal
Agnosia›verbal›auditory

Code history

Unchanged in every release from FY2024 to FY2027.