Version 2024
No Valid Principal Dx

2024 ICD-10-CM Diagnosis Code R41.841

Cognitive communication deficit

ICD-10-CM Code:
R41.841
ICD-10 Code for:
Cognitive communication deficit
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Not chronic
Code Navigator:

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)
      • Other symptoms and signs involving cognitive functions and awareness
        (R41)

R41.841 is a billable diagnosis code used to specify a medical diagnosis of cognitive communication deficit. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

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.

Approximate Synonyms

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

  • Acquired language comprehension impairment
  • Cognitive communication disorder
  • Cognitive deficit in communication skills
  • Conversation content - finding
  • Conversation content - finding
  • Conversation content inappropriate
  • Conversation content limited
  • Deterioration in ability to communicate
  • Difficulty adapting conversation to context
  • Difficulty asking questions
  • Difficulty choosing topics of conversation
  • Difficulty commenting on events
  • Difficulty communicating
  • Difficulty communicating about self
  • Difficulty communicating feelings
  • Difficulty communicating in different places
  • Difficulty communicating intentions
  • Difficulty communicating needs and wishes
  • Difficulty communicating on different occasions
  • Difficulty communicating thoughts
  • Difficulty communicating with different people
  • Difficulty comprehending language
  • Difficulty comprehending speech
  • Difficulty comprehending written material
  • Difficulty finding words
  • Difficulty following instructions
  • Difficulty greeting
  • Difficulty imitating forms of communication
  • Difficulty imitating gesture
  • Difficulty imitating words
  • Difficulty inferring meaning
  • Difficulty initiating conversation
  • Difficulty initiating words
  • Difficulty joining in conversation
  • Difficulty maintaining conversation
  • Difficulty making conversation
  • Difficulty making self understood
  • Difficulty performing recreational use of conversation
  • Difficulty playing with words and meaning
  • Difficulty presupposing in conversation
  • Difficulty processing information
  • Difficulty repairing conversation
  • Difficulty responding to communication by others
  • Difficulty speaking at normal rate
  • Difficulty speaking fluently
  • Difficulty speaking intelligibly
  • Difficulty taking turns in conversation
  • Difficulty talking
  • Difficulty talking while playing
  • Difficulty terminating conversation
  • Difficulty understanding instructions of more than two parts
  • Difficulty understanding more than three word instructions
  • Difficulty understanding one part instructions
  • Difficulty understanding single word instructions
  • Difficulty understanding three word instructions
  • Difficulty understanding two part instructions
  • Difficulty understanding two word instructions
  • Difficulty understanding verbal language
  • Difficulty understanding written language
  • Difficulty using a non-speech system for communication
  • Difficulty using automatic language
  • Difficulty using body language
  • Difficulty using different forms of conversation
  • Difficulty using grammatical constructions
  • Difficulty using humor
  • Difficulty using language
  • Difficulty using non-verbal communication
  • Difficulty using self-expression
  • Difficulty using speech appropriately
  • Difficulty using the elements of language
  • Difficulty using words
  • Does not adapt conversation to context
  • Does not ask questions
  • Does not choose topics of conversation
  • Does not comment on events
  • Does not communicate
  • Does not communicate about self
  • Does not communicate feelings
  • Does not communicate in different places
  • Does not communicate intentions
  • Does not communicate needs and wishes
  • Does not communicate on different occasions
  • Does not communicate thoughts
  • Does not communicate with different people
  • Does not comprehend language
  • Does not comprehend speech
  • Does not comprehend written material
  • Does not find words
  • Does not greet
  • Does not imitate forms of communication
  • Does not imitate gesture
  • Does not imitate words
  • Does not initiate conversation
  • Does not initiate words
  • Does not join in conversation
  • Does not maintain conversation
  • Does not make conversation
  • Does not make self understood
  • Does not perform recreational use of conversation
  • Does not play with words and meaning
  • Does not presuppose in conversation
  • Does not repair conversation
  • Does not respond to communication by others
  • Does not speak
  • Does not speak at normal rate
  • Does not speak fluently
  • Does not speak intelligibly
  • Does not take turns in conversation
  • Does not talk while playing
  • Does not terminate conversation
  • Does not understand instructions of more than three words
  • Does not understand instructions of more than two parts
  • Does not understand one part instructions
  • Does not understand single word instructions
  • Does not understand three word instructions
  • Does not understand two part instructions
  • Does not understand two word instructions
  • Does not understand verbal language
  • Does not understand written language
  • Does not use a non-speech system for communication
  • Does not use automatic language
  • Does not use body language
  • Does not use different forms of conversation
  • Does not use grammatical constructions
  • Does not use humor
  • Does not use language
  • Does not use non-verbal communication
  • Does not use self-expression
  • Does not use speech appropriately
  • Does not use the elements of language
  • Does not use verbal communication
  • Does not use words
  • Expressionless face
  • Eye contact observations
  • Facial expression - finding
  • Finding related to ability to adapt conversation to context
  • Finding related to ability to adapt conversation to context
  • Finding related to ability to adapt conversation to context
  • Finding related to ability to ask questions
  • Finding related to ability to ask questions
  • Finding related to ability to ask questions
  • Finding related to ability to choose topics of conversation
  • Finding related to ability to choose topics of conversation
  • Finding related to ability to choose topics of conversation
  • Finding related to ability to comment on events
  • Finding related to ability to comment on events
  • Finding related to ability to comment on events
  • Finding related to ability to communicate about self
  • Finding related to ability to communicate about self
  • Finding related to ability to communicate about self
  • Finding related to ability to communicate feelings
  • Finding related to ability to communicate feelings
  • Finding related to ability to communicate feelings
  • Finding related to ability to communicate in different places
  • Finding related to ability to communicate in different places
  • Finding related to ability to communicate in different places
  • Finding related to ability to communicate intentions
  • Finding related to ability to communicate intentions
  • Finding related to ability to communicate intentions
  • Finding related to ability to communicate needs and wishes
  • Finding related to ability to communicate needs and wishes
  • Finding related to ability to communicate needs and wishes
  • Finding related to ability to communicate on different occasions
  • Finding related to ability to communicate on different occasions
  • Finding related to ability to communicate on different occasions
  • Finding related to ability to communicate thoughts
  • Finding related to ability to communicate thoughts
  • Finding related to ability to communicate thoughts
  • Finding related to ability to communicate with different people
  • Finding related to ability to communicate with different people
  • Finding related to ability to communicate with different people
  • Finding related to ability to find words
  • Finding related to ability to find words
  • Finding related to ability to find words
  • Finding related to ability to greet
  • Finding related to ability to greet
  • Finding related to ability to greet
  • Finding related to ability to imitate gesture
  • Finding related to ability to imitate gesture
  • Finding related to ability to imitate gesture
  • Finding related to ability to imitate words
  • Finding related to ability to imitate words
  • Finding related to ability to imitate words
  • Finding related to ability to infer meaning
  • Finding related to ability to infer meaning
  • Finding related to ability to initiate conversation
  • Finding related to ability to initiate conversation
  • Finding related to ability to initiate conversation
  • Finding related to ability to initiate words
  • Finding related to ability to initiate words
  • Finding related to ability to initiate words
  • Finding related to ability to join in conversation
  • Finding related to ability to join in conversation
  • Finding related to ability to join in conversation
  • Finding related to ability to maintain conversation
  • Finding related to ability to maintain conversation
  • Finding related to ability to maintain conversation
  • Finding related to ability to make self understood
  • Finding related to ability to make self understood
  • Finding related to ability to make self understood
  • Finding related to ability to perform recreational use of conversation
  • Finding related to ability to perform recreational use of conversation
  • Finding related to ability to perform recreational use of conversation
  • Finding related to ability to play with words and meaning
  • Finding related to ability to play with words and meaning
  • Finding related to ability to play with words and meaning
  • Finding related to ability to presuppose in conversation
  • Finding related to ability to presuppose in conversation
  • Finding related to ability to presuppose in conversation
  • Finding related to ability to repair conversation
  • Finding related to ability to repair conversation
  • Finding related to ability to repair conversation
  • Finding related to ability to respond to communication by others
  • Finding related to ability to respond to communication by others
  • Finding related to ability to respond to communication by others
  • Finding related to ability to speak
  • Finding related to ability to speak
  • Finding related to ability to speak
  • Finding related to ability to speak at normal rate
  • Finding related to ability to speak at normal rate
  • Finding related to ability to speak at normal rate
  • Finding related to ability to speak fluently
  • Finding related to ability to speak fluently
  • Finding related to ability to speak fluently
  • Finding related to ability to speak intelligibly
  • Finding related to ability to speak intelligibly
  • Finding related to ability to speak intelligibly
  • Finding related to ability to take turns in conversation
  • Finding related to ability to take turns in conversation
  • Finding related to ability to take turns in conversation
  • Finding related to ability to talk while playing
  • Finding related to ability to talk while playing
  • Finding related to ability to talk while playing
  • Finding related to ability to terminate conversation
  • Finding related to ability to terminate conversation
  • Finding related to ability to terminate conversation
  • Finding related to ability to use a non-speech system for communication
  • Finding related to ability to use a non-speech system for communication
  • Finding related to ability to use a non-speech system for communication
  • Finding related to ability to use automatic language
  • Finding related to ability to use automatic language
  • Finding related to ability to use automatic language
  • Finding related to ability to use body language
  • Finding related to ability to use body language
  • Finding related to ability to use body language
  • Finding related to ability to use body language
  • Finding related to ability to use different forms of conversation
  • Finding related to ability to use different forms of conversation
  • Finding related to ability to use different forms of conversation
  • Finding related to ability to use grammatical constructions
  • Finding related to ability to use grammatical constructions
  • Finding related to ability to use grammatical constructions
  • Finding related to ability to use humor
  • Finding related to ability to use humor
  • Finding related to ability to use humor
  • Finding related to ability to use speech appropriately
  • Finding related to ability to use speech appropriately
  • Finding related to ability to use speech appropriately
  • Finding related to ability to use words
  • Finding related to ability to use words
  • Finding related to ability to use words
  • Finding related to ability to write
  • Finding relating to non-verbal communication
  • Finding relating to non-verbal communication
  • General finding of language and communication
  • Inadequate interpersonal communication skills
  • Inappropriate use of language in communication
  • Lack of alternative communication skill
  • Lack of alternative communication skill: gestures
  • Lack of direction in speech
  • Language-related cognitive disorder
  • Neologism
  • Poor eye contact
  • Talking past the point
  • Unable to adapt conversation to context
  • Unable to ask questions
  • Unable to choose topics of conversation
  • Unable to comment on events
  • Unable to communicate
  • Unable to communicate about self
  • Unable to communicate feelings
  • Unable to communicate in different places
  • Unable to communicate intentions
  • Unable to communicate needs and wishes
  • Unable to communicate on different occasions
  • Unable to communicate thoughts
  • Unable to communicate with different people
  • Unable to find words
  • Unable to greet
  • Unable to imitate forms of communication
  • Unable to imitate gesture
  • Unable to imitate words
  • Unable to infer meaning
  • Unable to initiate conversation
  • Unable to initiate words
  • Unable to join in conversation
  • Unable to maintain conversation
  • Unable to make conversation
  • Unable to make self understood
  • Unable to perform recreational use of conversation
  • Unable to play with words and meaning
  • Unable to presuppose in conversation
  • Unable to repair conversation
  • Unable to respond to communication by others
  • Unable to speak
  • Unable to speak at normal rate
  • Unable to speak fluently
  • Unable to speak intelligibly
  • Unable to take turns in conversation
  • Unable to talk while playing
  • Unable to terminate conversation
  • Unable to use a non-speech system for communication
  • Unable to use automatic language
  • Unable to use body language
  • Unable to use different forms of conversation
  • Unable to use grammatical constructions
  • Unable to use humor
  • Unable to use language
  • Unable to use non-verbal communication
  • Unable to use self-expression
  • Unable to use speech appropriately
  • Unable to use the elements of language
  • Unable to use verbal communication
  • Unable to use words
  • Unable to write

Clinical Classification

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

Convert R41.841 to ICD-9-CM

  • ICD-9-CM Code: 799.52 - Cog communicate deficit

Patient Education


Speech and Communication Disorders

Many disorders can affect our ability to speak and communicate. They range from saying sounds incorrectly to being completely unable to speak or understand speech. Causes include:

  • Hearing disorders and deafness
  • Voice problems, such as dysphonia or those caused by cleft lip or palate
  • Speech problems like stuttering
  • Developmental disabilities
  • Learning disabilities
  • Autism spectrum disorder
  • Brain injury
  • Stroke

Some speech and communication problems may be genetic. Often, no one knows the causes. By first grade, about 5% of children have noticeable speech disorders. Speech and language therapy can help.

NIH: National Institute on Deafness and Other Communication Disorders


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.