R41.8

Other symptoms and signs involving cognitive functions and awareness

Non-billable header

R41.8 is a non-billable header code. Use one of the more specific codes below.

Inclusion terms

Includes (from R41)

  • Note: This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
  • Note: Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
  • Note: The conditions and signs or symptoms included in categories R00-R94 consist of:
  • Note: (a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
  • Note: (b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
  • Note: (c) provisional diagnosis in a patient who failed to return for further investigation or care;
  • Note: (d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
  • Note: (e) cases in which a more precise diagnosis was not available for any other reason;
  • Note: (f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.

Excludes1

Not coded here — never report together with this code.

  • dissociative [conversion] disorders (F44.-) (from R41)
  • mild cognitive impairment of uncertain or unknown etiology (G31.84) (from R41)

Excludes2

Not included here — may be reported together when both conditions exist.

  • abnormal findings on antenatal screening of mother (O28.-) (from R41)
  • certain conditions originating in the perinatal period (P04-P96) (from R41)
  • signs and symptoms classified in the body system chapters (from R41)
  • signs and symptoms of breast (N63, N64.5) (from R41)
  • symptoms and signs constituting part of a pattern of mental disorder (F01-F99) (from R41)

Parent code

  • R41Other symptoms and signs involving cognitive functions and awarenessHeader

More specific codes R41.8

  • R41.81Age-related cognitive declineBillable
  • R41.82Altered mental status, unspecifiedBillable
  • R41.83Borderline intellectual functioningBillable
  • R41.84Other specified cognitive deficitHeader
  • R41.85AnosognosiaBillable
  • R41.89Other symptoms and signs involving cognitive functions and awarenessBillable

Related codes

  • R41.0Disorientation, unspecifiedBillable
  • R41.1Anterograde amnesiaBillable
  • R41.2Retrograde amnesiaBillable
  • R41.3Other amnesiaBillable
  • R41.4Neurologic neglect syndromeBillable
  • R41.9Unspecified symptoms and signs involving cognitive functions and awarenessBillable

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