ICD-10 · PDGM grouping
R41 Other symptoms and signs involving cognitive functions and awareness
All 16 codes in the R41 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
Codes in family
16
Can lead a claim
0
Cannot lead a claim
16
What CMS assigns to R41
None of the 16 codes is assigned a clinical group. None of the 16 is assigned a comorbidity subgroup. None can lead a claim. CMS attaches a code-first note to 5 of the 16.
Code first
CMS grouper convention 158, on R41.840, R41.841, R41.842, R41.843, R41.844. Code first:
- schizophrenia (F20.-)
- the underlying condition, if known, such as:
Every code in R41
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| R41.0 | Disorientation, unspecified | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R41.1 | Anterograde amnesia | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R41.2 | Retrograde amnesia | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R41.3 | Other amnesia | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R41.4 | Neurologic neglect syndrome | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R41.8 Other symptoms and signs involving cognitive functions and awareness | ||||
| R41.81 | Age-related cognitive decline | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R41.82 | Altered mental status, unspecified | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R41.83 | Borderline intellectual functioning | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R41.84 Other specified cognitive deficit | ||||
| R41.840 | Attention and concentration deficit | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R41.841 | Cognitive communication deficit | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R41.842 | Visuospatial deficit | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R41.843 | Psychomotor deficit | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R41.844 | Frontal lobe and executive function deficit | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R41.85 | Anosognosia | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R41.89 | Other symptoms and signs involving cognitive functions and awarenessCMS: Oth symptoms and signs w cognitive functions and awareness | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R41.9 | Unspecified symptoms and signs involving cognitive functions and awarenessCMS: Unsp symptoms and signs w cognitive functions and awareness | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
The monthly home health regs digest
What CMS changed, what's due next, and what to do about it — one email a month, no fluff. Read the first issue