FY2027
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Excludes1 pair

R48.1 vs R48.3

R48.1 and R48.3 are not coded together. ICD-10-CM declares them mutually exclusive with an Excludes1 note — the two conditions are not expected to occur together, so exactly one of them is normally correct for a given encounter. The Official Guidelines carve out one exception: if the two conditions are clearly unrelated to each other, both may be reported.

The official note, declared on R48.1
visual object agnosia (R48.3)
R48.1

Agnosia

Billable
Chapter 18
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
Section
R47-R49
Use when the record says
  • Astereognosia (astereognosis)
  • Autotopagnosia
Indexed under
  • Agnosia (body image) (other senses) (tactile)
  • Astereognosia, astereognosis
  • Autotopagnosia
  • Agnosia › verbal
  • Agnosia › verbal › auditory
R48.3

Visual agnosia

Billable
Chapter 18
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
Section
R47-R49
Use when the record says
  • Prosopagnosia
  • Simultanagnosia (asimultagnosia)
Indexed under
  • Asimultagnosia (simultanagnosia)
  • Prosopagnosia
  • Simultanagnosia (asimultagnosia)
  • Agnosia › visual (object)

Excludes1 is not always absolute: where two conditions covered by the note are genuinely unrelated, CMS guidance permits reporting both. Document the reasoning rather than assuming it. More on Excludes1 vs Excludes2 · FY2027