R41.4 — Neurologic neglect syndrome
Is R41.4 billable?
Yes — R41.4 is billable for FY2027. R41.4 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. R41.4 may be submitted for encounters from October 1, 2026 through September 30, 2027.
R41.4 at a glance
| Code | R41.4 |
|---|---|
| Description | Neurologic neglect syndrome |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does R41.4 group to?
R41.4 sits in MDC 01 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 091Other Disorders of Nervous System with MCCmedical
- 092Other Disorders of Nervous System with CCmedical
- 093Other Disorders of Nervous System without CC/MCCmedical
As a secondary diagnosis, R41.4 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is R41.4 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to R41.4. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Asomatognosia
- Hemi-akinesia
- Hemi-inattention
- Neglect › hemispatial
- Neglect › left-sided
- Neglect › sensory
- Neglect › visuospatial
- Syndrome › alien hand
- Syndrome › neurologic neglect
- Symptoms NEC › involving › awareness › neurologic neglect syndrome
- Symptoms NEC › involving › cognitive functions › neurologic neglect syndrome
Excludes1 — never code together
The conditions below can never be reported together with R41.4 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- visuospatial deficit (R41.842)
Inclusion terms
Alternative wording in documentation that is classified to R41.4.
- Asomatognosia
- Hemi-akinesia
- Hemi-inattention
- Hemispatial neglect
- Left-sided neglect
- Sensory neglect
- Visuospatial neglect
Excludes1 — never code together — inherited from R41
The conditions below can never be reported together with R41.4 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes2 — not included here — inherited from Chapter 18
The conditions below are not part of R41.4, but a patient may have both at the same time. When documentation supports it, R41.4 and the excluded code may both be reported.
Excludes2 — not included here — inherited from R40-R46
The conditions below are not part of R41.4, but a patient may have both at the same time. When documentation supports it, R41.4 and the excluded code may both be reported.
- symptoms and signs constituting part of a pattern of mental disorder (F01-F99)
How long has R41.4 existed?
R41.4 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
Which codes are confused with R41.4?
ICD-10-CM declares these codes mutually exclusive with R41.4 — exactly one of each pair can be correct for a given encounter.