Is R48.1 a billable ICD-10-CM code?

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

Where does R48.1 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 speech and voice (R47-R49).

What cannot be coded together with R48.1?

R48.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

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.

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

Risk adjustment

R48.1 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.

Medicare coverage

R48.1 is named in 14 Medicare coverage policies — 14 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

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

How R48.1 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to R48.1.

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

Related codes at this level

Codes that share R48. If R48.1 is not quite right, the correct code is usually one of these.

Questions about R48.1

Is R48.1 a billable ICD-10-CM code?: Yes. R48.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does R48.1 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 speech and voice (R47-R49).
What cannot be coded together with R48.1?: R48.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.