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F06.7 vs R41.81

F06.7 (Mild neurocognitive disorder due to known physiological condition) compared with R41.81 (Age-related cognitive decline), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. F06.7 carries an Excludes1 note covering R41.81: “age related cognitive decline (R41.81)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

F06.7Mild neurocognitive disorder due to known physiological conditionR41.81Age-related cognitive decline
Billing statusNon-billable header

Report instead: F06.70, F06.71

Billable
ClassificationF01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99)R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99)
DefinitionMild neurocognitive disorder due to known physiological condition is a non-billable ICD-10-CM category code (F06.7).Age-related cognitive decline is a billable ICD-10-CM diagnosis code (R41.81).
Includes
mental disorders due to endocrine disorder
mental disorders due to exogenous hormone
mental disorders due to exogenous toxic substance
mental disorders due to primary cerebral disease
Senility NOS
Code first
the underlying physiological condition, such as:
Alzheimer's disease (G30.-)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources