ICD-10-CM Code R41.89

Other symptoms and signs involving cognitive functions and awareness

Version 2020 Billable Code No Valid Principal Dx

Valid for Submission

R41.89 is a billable code used to specify a medical diagnosis of other symptoms and signs involving cognitive functions and awareness. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code R41.89 might also be used to specify conditions or terms like able to think clearly, abnormal ability to understand, abnormal motivation, abnormal sexual behavior, absence of motivation, absences, etc

According to ICD-10-CM guidelines this code should not to be used as a principal diagnosis code when a related definitive diagnosis has been established.

ICD-10:R41.89
Short Description:Oth symptoms and signs w cognitive functions and awareness
Long Description:Other symptoms and signs involving cognitive functions and awareness

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code R41.89:

Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Anosognosia

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code R41.89 are found in the index:


Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Able to think clearly
  • Abnormal ability to understand
  • Abnormal motivation
  • Abnormal sexual behavior
  • Absence of motivation
  • Absences
  • Acenesthesia
  • Acting out - mental defense mechanism
  • Akatamathesia
  • Akatonoesis
  • Akinetic apraxia
  • Akinetic mutism
  • Alethia
  • Altered thought processes
  • Altruism - mental defense mechanism
  • Amount of thought - finding
  • Amount of thought - finding
  • Anosognosia
  • Anticipation - mental defense mechanism
  • Anxious avoidant attachment
  • Arbitrary inference
  • Attachment avoidant
  • Autistic thinking
  • Autonomous attachment
  • Being out of body
  • Bizarre thoughts
  • Black and white thinking
  • Bradyphrenia
  • Catastrophization
  • Cerebral irresponsivity
  • Chaotic attachment
  • Circumstantiality
  • Clang associations
  • Clarity of thought - finding
  • Clarity of thought - finding
  • Cognitive impairment co-occurrent and due to primary psychotic disorder
  • Cognitive impairment due to multiple sclerosis
  • Cognitive impairment, coarse facies, heart defects, obesity, pulmonary involvement, short stature, skeletal dysplasia syndrome
  • Cognitive style - finding
  • Cognitive style - finding
  • Cognitive style - finding
  • Cognitive style - finding
  • Cognitive style - finding
  • Cognitive style - finding
  • Concrete thinking
  • Conversion - mental defense mechanism
  • Countertransference
  • Creative thought
  • Dangerous and harmful thoughts
  • Delusional projection - mental defense mechanism
  • Denial - mental defense mechanism
  • Dependent attachment
  • Depressive preoccupation
  • Difficulty analyzing information
  • Difficulty comprehending concept of danger
  • Difficulty in thinking independently
  • Difficulty making considered choices
  • Difficulty making decisions
  • Difficulty making plans
  • Difficulty performing logical sequencing
  • Difficulty processing information
  • Difficulty processing information accurately
  • Difficulty reasoning
  • Difficulty recognizing consequences of sexual behavior
  • Difficulty telling the time
  • Difficulty using decision making strategies
  • Diminished judgement
  • Disinhibited thoughts
  • Disorder of form of thought
  • Disorganized thinking
  • Displacement - mental defense mechanism
  • Dissociative neurological symptom disorder co-occurrent with cognitive symptoms
  • Disturbance in content of thought
  • Disturbance in intuition
  • Disturbance in judgement
  • Disturbance in speed of associations
  • Disturbance in structure of associations
  • Disturbance in thinking
  • Disturbance of cognitive learning
  • Disturbance of understanding
  • Disturbed sensory perception
  • Does not recognize numbers
  • Does not recognize photographs of self
  • Does not recognize self
  • Does not recognize self in mirror
  • Dominant attachment
  • Ego strength finding
  • Ego strength finding
  • Ego strength finding
  • Egomania
  • Enmeshed attachment
  • Eroticized transference
  • Erotographomania
  • Excessively focused attention
  • Expansive ideation
  • False sense of well-being
  • Fantasizing
  • Fast flow of thought
  • Fatuous thoughts
  • Finding related to ability to analyze information
  • Finding related to ability to analyze information
  • Finding related to ability to find way around a familiar environment
  • Finding related to ability to make considered choices
  • Finding related to ability to make considered choices
  • Finding related to ability to plan
  • Finding related to ability to plan
  • Finding related to ability to plan
  • Finding related to ability to process information accurately
  • Finding related to ability to process information accurately
  • Finding related to ability to process information at normal speed
  • Finding related to ability to recognize faces
  • Finding related to ability to recognize faces by sight
  • Finding related to ability to recognize familiar people
  • Finding related to ability to recognize objects
  • Finding related to ability to recognize objects by sight
  • Finding related to ability to recognize objects by touch
  • Finding related to ability to recognize odors
  • Finding related to ability to recognize own fingers
  • Finding related to ability to recognize parts of own body
  • Finding related to ability to recognize self
  • Finding related to ability to recognize sounds
  • Finding related to ability to recognize surroundings
  • Finding related to ability to recognize warning sounds
  • Finding related to ability to tell the time
  • Finding related to ability to tell the time
  • Finding related to ability to think abstractly
  • Finding related to ability to think abstractly
  • Finding related to ability to use arithmetic reasoning
  • Finding related to ability to use decision making strategies
  • Finding related to ability to use decision making strategies
  • Finding related to awareness of rules and boundaries
  • Finding related to logical sequencing ability
  • Finding related to logical sequencing ability
  • Finding related to numeracy level
  • Finding related to use of statements
  • Flight of ideas
  • Funny turn
  • GDS level 2 - very mild cognitive decline
  • GDS level 3 - mild cognitive decline
  • GDS level 4 - moderate cognitive decline
  • GDS level 5 - moderately severe cognitive decline
  • GDS level 6 - severe cognitive decline
  • GDS level 7 - very severe cognitive decline
  • Global deterioration scale finding for assessment of primary degenerative dementia
  • Global deterioration scale finding for assessment of primary degenerative dementia
  • Global deterioration scale finding for assessment of primary degenerative dementia
  • Global deterioration scale finding for assessment of primary degenerative dementia
  • Global deterioration scale finding for assessment of primary degenerative dementia
  • Global deterioration scale finding for assessment of primary degenerative dementia
  • Glossolalia
  • Harmful thoughts
  • Has imaginary friend
  • Hemi-neglect
  • High ego strength
  • Human immunodeficiency virus infection with cognitive impairment
  • Humor - mental defense mechanism
  • Idealization - mental defense mechanism
  • Idealizing transference
  • Identification - mental defense mechanism
  • Identification with the aggressor - mental defense mechanism
  • Illogical thinking
  • Immature behavior
  • Impaired ability to learn new material
  • Impaired cognition
  • Impaired environmental interpretation syndrome
  • Impaired insight
  • Impairment of mental alertness
  • Impairment of psychological status
  • Incoherent thinking
  • Incomplete clearmindedness
  • Increased thinking
  • Independence of thought - finding
  • Ineffective denial
  • Infantile-onset mesial temporal lobe epilepsy with severe cognitive regression
  • Information conversion problem
  • Insecure attachment
  • Insecure avoidant attachment
  • Intellectual faculties - finding
  • Intellectual faculties - finding
  • Intellectual faculties - finding
  • Intellectual faculties - finding
  • Intellectualization - mental defense mechanism
  • Intent of deliberate self harm with detailed plans
  • Introjection - mental defense mechanism
  • Intrusive memories
  • Intrusive thoughts
  • Irrational thoughts
  • Irrelevant answer
  • Isolated artistic skills
  • Isolated calendar skills
  • Isolated musical skills
  • Isolated number skills
  • Isolated skills associated with general impairment
  • Isolated visuospatial skills
  • Isolation - mental defense mechanism
  • Judgement - finding
  • Judgement - finding
  • Judgement - finding
  • Judgement - finding
  • Knight's move in thought
  • Lack of awareness
  • Lack of common sense about danger
  • Lack of insight
  • Lack of intuition
  • Lack of judgement
  • Lack of self awareness
  • Lack of thinking ability
  • Level of psychoticism - finding
  • Level of psychoticism - finding
  • Limited ability to think abstractly
  • Limited reasoning ability
  • Loosening of associations
  • Loss of direction of thought
  • Loss of judgement
  • Loud thoughts
  • Low ego strength
  • Low level of psychoticism
  • Magical thinking
  • Medication non-compliance due to cognitive impairment
  • Mental condensation
  • Mentally dull
  • Mentally vague
  • Minimal cognitive impairment
  • Minimally conscious state
  • Minimally conscious state minus
  • Minimally conscious state plus
  • Mistakes people's identity
  • Mixed avoidant attachment
  • Moderate ego strength
  • Moderate level of psychoticism
  • Monomania
  • Morbid thoughts
  • Negative automatic thoughts
  • Negative transference
  • Noesis
  • Non sequiturs
  • Non-awareness of common dangers
  • Nonpersistence
  • Nonspecific paroxysmal spell
  • Non-verbally indicates understanding
  • Not aware of danger from deep water
  • Not aware of danger from falling from heights
  • Not aware of danger from fire
  • Not aware of danger from hot lamp
  • Not aware of danger from hot objects
  • Not aware of danger from hot stoves
  • Not aware of danger from hot water
  • Not aware of danger from sharp objects
  • Not aware of danger from strangers
  • Not aware of danger from traffic
  • Not wanting to think
  • Not wanting to think about something
  • O/E - hypervigilance
  • O/E - level of awareness
  • O/E - level of awareness
  • O/E - vigilance
  • Obscene thoughts
  • Omnipotence - mental defense mechanism
  • Organic disorder of body schema
  • Overgeneralization
  • Overvalued idea
  • Palinacousia
  • Palinesthesia
  • Passive aggression - mental defense mechanism
  • Persistent thoughts
  • Phobic avoidance - mental defense mechanism
  • Planning extravagant projects
  • Planning unworkable projects
  • Plans for deliberate self harm without intent
  • Pleasant fantasy
  • Poor grasp of abstract concepts
  • Pornographic fantasy
  • Positive symptoms co-occurrent and due to primary psychotic disorder
  • Positive transference
  • Poverty of thought
  • Prelogical thinking
  • Preoccupation
  • Preoccupation of thought
  • Preoccupation with appearance
  • Preoccupation with body size
  • Preoccupation with compensation
  • Preoccupation with death
  • Preoccupation with disaster
  • Preoccupation with litigation
  • Preoccupation with ruin
  • Preoccupation with specific bodily feature
  • Preoccupied with emotional problems
  • Pressure of thought
  • Primitive idealization - mental defense mechanism
  • Projection - mental defense mechanism
  • Psychodynamic complexes
  • Psychotic denial - mental defense mechanism
  • Puzzled
  • Racing thoughts
  • Rationalization - mental defense mechanism
  • Reaction-formation - mental defense mechanism
  • Reality testing
  • Reappearance of old thoughts
  • Referential thoughts
  • Regression - mental defense mechanism
  • Regression through acting in
  • Regression through acting out
  • Regression through actualizing
  • Regression through enacting
  • Regression through recapitulation
  • Reliving traumatic memories
  • Repetitive questioning
  • Repressing painful memories
  • Repressing thoughts
  • Repression - mental defense mechanism
  • Repression through denial
  • Repression through forgetting
  • Reversal - mental defense mechanism
  • Rigidity of thinking
  • Rumination - thoughts
  • Secure attachment
  • Selective abstraction
  • Self-object transference
  • Sense of identity finding
  • Sense of impending doom
  • Sharpened thinking
  • Slow flow of thought
  • Sluggish thought
  • Speed of thought - finding
  • Speed of thought - finding
  • Speed of thought - finding
  • Splitting - mental defense mechanism
  • Sublimation - mental defense mechanism
  • Submissive attachment
  • Suggestible
  • Suppression - mental defense mechanism
  • Tangential thinking
  • Thought alienation
  • Thought block
  • Thought insertion
  • Thought withdrawal
  • Thoughts of deliberate self harm
  • Thoughts of self harm
  • Transference
  • Turning against the self - mental defense mechanism
  • Type of memories - finding
  • Type of memories - finding
  • Unable to analyze information
  • Unable to comprehend concept of danger
  • Unable to find way around a familiar environment
  • Unable to make considered choices
  • Unable to perform logical sequencing
  • Unable to plan
  • Unable to process information
  • Unable to process information accurately
  • Unable to process information at normal speed
  • Unable to reason
  • Unable to recognize faces
  • Unable to recognize faces by sight
  • Unable to recognize familiar people
  • Unable to recognize objects
  • Unable to recognize objects by sight
  • Unable to recognize objects by touch
  • Unable to recognize odors
  • Unable to recognize own fingers
  • Unable to recognize parts of own body
  • Unable to recognize sounds
  • Unable to recognize surroundings
  • Unable to recognize warning sounds
  • Unable to tell the time
  • Unable to think clearly
  • Unable to use statements
  • Unable to use arithmetic reasoning
  • Unable to use decision making strategies
  • Unaware of rules and boundaries
  • Unconscious fantasy
  • Undoing - mental defense mechanism
  • Unio mystica
  • Unpleasant memories
  • Unrealistic planning
  • Unusually creative thinking
  • Use of imagination - finding
  • Use of imagination - finding
  • Use of imagination - finding
  • Verbal repetition

Convert R41.89 to ICD-9

  • 799.59 - Cognition sign/sympt NEC

Code Classification

  • Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00–R99)
    • Symptoms and signs involving cognition, perception, emotional state and behavior (R40-R46)
      • Oth symptoms and signs w cognitive functions and awareness (R41)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Mental Disorders

What are mental disorders?

Mental disorders (or mental illnesses) are conditions that affect your thinking, feeling, mood, and behavior. They may be occasional or long-lasting (chronic). They can affect your ability to relate to others and function each day.

What are some types of mental disorders?

There are many different types of mental disorders. Some common ones include

  • Anxiety disorders, including panic disorder, obsessive-compulsive disorder, post-traumatic stress disorder, and phobias
  • Depression, bipolar disorder, and other mood disorders
  • Eating disorders
  • Personality disorders
  • Psychotic disorders, including schizophrenia

What causes mental disorders?

There is no single cause for mental illness. A number of factors can contribute to risk for mental illness, such as

  • Your genes and family history
  • Your life experiences, such as stress or a history of abuse, especially if they happen in childhood
  • Biological factors such as chemical imbalances in the brain
  • A traumatic brain injury
  • A mother's exposure to viruses or toxic chemicals while pregnant
  • Use of alcohol or recreational drugs
  • Having a serious medical condition like cancer
  • Having few friends, and feeling lonely or isolated

Mental disorders are not caused by character flaws. They have nothing to do with being lazy or weak.

Who is at risk for mental disorders?

Mental disorders are common. More than half of all Americans will be diagnosed with a mental disorder at some time in their life.

How are mental disorders diagnosed?

The steps to getting a diagnosis include

  • A medical history
  • A physical exam and possibly lab tests, if your provider thinks that other medical conditions could be causing your symptoms
  • A psychological evaluation. You will answer questions about your thinking, feelings, and behaviors.

What are the treatments for mental disorders?

Treatment depends on which mental disorder you have and how serious it is. You and your provider will work on a treatment plan just for you. It usually involves some type of therapy. You may also take medicines. Some people also need social support and education on managing their condition.

In some cases, you may need more intensive treatment. You may need to go to a psychiatric hospital. This could be because your mental illness is severe. Or it could be because you are at risk of hurting yourself or someone else. In the hospital, you will get counseling, group discussions, and activities with mental health professionals and other patients.


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