R41.4 vs R41.842
R41.4 (Neurologic neglect syndrome) compared with R41.842 (Visuospatial deficit), 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. R41.4 carries an Excludes1 note covering R41.842: “visuospatial deficit (R41.842)”
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
| R41.4Neurologic neglect syndrome | R41.842Visuospatial deficit | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99) | R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99) |
| Definition | Neurologic neglect syndrome is a billable ICD-10-CM diagnosis code (R41.4). | Visuospatial deficit is a billable ICD-10-CM diagnosis code (R41.842). |
| Includes | Asomatognosia Hemi-akinesia Hemi-inattention Hemispatial neglect | — |
| Code first | — | the underlying condition, if known, such as: schizophrenia (F20.-) |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources