R41.4 Neurologic neglect syndrome

Billable ICD-10-CM code, FY2026. Acts as a Complication or Comorbidity (CC) as a secondary diagnosis.

Applicable to

• Asomatognosia
• Hemi-akinesia
• Hemi-inattention
• Hemispatial neglect
• Left-sided neglect
• Sensory neglect
• Visuospatial neglect

Excludes1 (never code together)

• visuospatial deficit (R41.842)

Applies from R41 Other symptoms and signs involving cognitive functions and awareness

Excludes1 (never code together)

• dissociative [conversion] disorders (F44.-)
• mild cognitive impairment of uncertain or unknown etiology (G31.84)

MS-DRG index

Defines the logic of DRG(s) 091-093 in MDC 01.

Approximate ICD-9-CM (GEMs)

• 781.8 Neurologic neglect syndrome

Code annotations containing back-references to R41.4

Back-references to R41.4

• Type 1 Excludes: F06.7 Mild neurocognitive disorder due to known physiological condition ("neurologic neglect syndrome (R41.4)")
• Type 1 Excludes: G31.84 Mild cognitive impairment of uncertain or unknown etiology ("neurologic neglect syndrome (R41.4)")

Diagnosis Index entries for R41.4

• Asomatognosia
• Hemi-akinesia
• Hemi-inattention
• Neglect › hemispatial
• Neglect › left-sided
• Neglect › sensory
• Neglect › visuospatial
• Symptoms NEC › involving › awareness › neurologic neglect syndrome
• Symptoms NEC › involving › cognitive functions › neurologic neglect syndrome
• Syndrome › alien hand
• Syndrome › neurologic neglect

Nearby codes

• R41 Other symptoms and signs involving cognitive functions and awareness
• R41.0 Disorientation, unspecified
• R41.1 Anterograde amnesia
• R41.2 Retrograde amnesia
• R41.3 Other amnesia
• R41.4 Neurologic neglect syndrome (this code)
• R41.8 Other symptoms and signs involving cognitive functions and awareness
• R41.81 Age-related cognitive decline
• R41.82 Altered mental status, unspecified
• R41.83 Borderline intellectual functioning
• R41.84 Other specified cognitive deficit