Name: Visuospatial deficit
Creator: MedCoder.ai

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Coding at a Glance

Tabular directives: 3 Excludes1 · 1 Excludes2 · 2 code-first instructions

Inpatient Payment Groups (MS-DRG)

Potential MS-DRG participation — not a DRG assignment.

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43, Appendix B.

MS-DRG 091 — OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC (MDC 01)
MS-DRG 092 — OTHER DISORDERS OF NERVOUS SYSTEM WITH CC (MDC 01)
MS-DRG 093 — OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC (MDC 01)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for R41.842 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025

Notes without a marker are published on R41.842 itself; “inherited from” names the category or block whose note applies here.

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

cognitive deficits as sequelae of cerebrovascular disease (I69.01-, I69.11-, I69.21-, I69.31-, I69.81-, I69.91-) inherited from R41.84Compare R41.842 vs I69.01 →
dissociative [conversion] disorders (F44.-) inherited from R41Compare R41.842 vs F44 →
mild cognitive impairment of uncertain or unknown etiology (G31.84) inherited from R41Compare R41.842 vs G31.84 →

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

symptoms and signs constituting part of a pattern of mental disorder (F01-F99) Compare R41.842 vs F01 →

Source: inherited from R40-R46

Code First

Underlying conditions that must be sequenced before this code.

the underlying condition, if known, such as:
schizophrenia (F20.-)

Source: inherited from R41.84

Coder workflow for R41.842

MedCoder structured workflow — derived from this code’s own official record

Before you code R41.842

Check whether an established diagnosis that explains this sign or symptom is documented. If one is, review whether the documented diagnosis changes the coding pathway: a symptom that is integral to a confirmed diagnosis is not reported separately, while one not routinely associated with it may be. Signs and symptoms are reported when no definitive diagnosis is established (Guidelines I.B.4, I.B.5, I.B.6, I.C.18.b).
Guide: Symptom code vs confirmed diagnosis →
Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with R41.842. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).
See the official tabular notes

Choose the right path

Is an established diagnosis that explains this sign or symptom documented?
Yes → Review whether the documented diagnosis changes the coding pathway: a symptom integral to it is not reported separately.
No → Continue — the sign or symptom code stands when no definitive diagnosis is established.
Does the documentation support a condition named in R41.842’s Excludes1 note?
Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
No → Continue.
ReviewI69.01, I69.11, I69.21, I69.31, I69.81, I69.91
Is the underlying (etiologic) condition the Code First note names documented?
Yes → Sequence the underlying condition first, then R41.842.
No → Continue; do not add an underlying condition the record does not document.
ReviewF20

Consider R41.842. Then confirm the code is valid for the date of service in the Verify section.

Documentation check

The provider’s diagnostic statement: Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
The underlying (etiologic) condition: Named in the Code First note; sequenced before this code when documented (Guidelines I.A.13).

Official instructions as workflow

Excludes1 — check before selecting R41.842(3 notes)
Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with R41.842: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.
CompareI69.01, I69.11, I69.21, I69.31, I69.81, I69.91
See the official tabular notes · Guidelines I.A.12.a
Excludes2 — not part of R41.842(1 note)
Coding workflow: The conditions named in this note are not included in R41.842. When the record documents both, both may be reported; the note is a boundary, not a prohibition.
See the official tabular notes · Guidelines I.A.12.b
Code First — sequencing check(2 notes)
Coding workflow: Check whether the underlying or etiologic condition the note names is documented. When it is, sequence it before R41.842. Do not add an underlying condition the record does not document.
ReviewF20
See the official tabular notes · Guidelines I.A.13

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: The sign or symptom is documented, and the same record establishes a diagnosis that routinely includes it.

Coding question: Is R41.842 reported in addition to the diagnosis?

Path: Review the documented diagnosis and whether the classification treats this finding as integral to it.

Reason: Signs and symptoms integral to a confirmed diagnosis are not coded separately; those not routinely associated with it may be reported when present (Guidelines I.B.5, I.B.6, I.C.18.b).

Documentation: Both the condition R41.842 describes and a condition named in its Excludes1 note are documented for the same encounter.

Coding question: Can both codes be reported?

Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.

Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).

ReviewI69.01, I69.11, I69.21, I69.31, I69.81, I69.91

Documentation: The underlying condition the Code First note names is documented alongside this condition.

Coding question: How are the two sequenced?

Path: Review the Code First note.

Reason: The underlying condition is sequenced first and the manifestation follows (Guidelines I.A.13).

ReviewF20

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Code Overview

Visuospatial deficit is a billable ICD-10-CM diagnosis code (R41.842).

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Indexed Clinical Terms (1)

Official source data — entries quoted as published, in the Index’s own lookup phrasing

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.

Deficit, visuospatial

Don’t confuse R41.842 with…

MedCoder analysis — pairs from this code’s official notes, distinctions written by MedCoder

The codes most likely to be picked instead of R41.842 — named in its own official notes, or sharing its laterality or encounter family — with what separates them and which documentation moves the case. Each links to the full comparison.

I69.01— Excludes1 conflict (Excludes1 — generally not reported together)
Not coded here — the tabular list excludes this pair for the same encounter.
Not reported together with this code, except where the two conditions are documented as unrelated.
What moves you there: Documentation of cognitive deficits as sequelae of cerebrovascular disease moves the case to I69.01; the two are not reported together unless documented as unrelated.
Full comparison: R41.842 vs I69.01 →
I69.11— Excludes1 conflict (Excludes1 — generally not reported together)
Not coded here — the tabular list excludes this pair for the same encounter.
Not reported together with this code, except where the two conditions are documented as unrelated.
What moves you there: Documentation of cognitive deficits as sequelae of cerebrovascular disease moves the case to I69.11; the two are not reported together unless documented as unrelated.
Full comparison: R41.842 vs I69.11 →
I69.21— Excludes1 conflict (Excludes1 — generally not reported together)
Not coded here — the tabular list excludes this pair for the same encounter.
Not reported together with this code, except where the two conditions are documented as unrelated.
What moves you there: Documentation of cognitive deficits as sequelae of cerebrovascular disease moves the case to I69.21; the two are not reported together unless documented as unrelated.
Full comparison: R41.842 vs I69.21 →
I69.31— Excludes1 conflict (Excludes1 — generally not reported together)
Not coded here — the tabular list excludes this pair for the same encounter.
Not reported together with this code, except where the two conditions are documented as unrelated.
What moves you there: Documentation of cognitive deficits as sequelae of cerebrovascular disease moves the case to I69.31; the two are not reported together unless documented as unrelated.
Full comparison: R41.842 vs I69.31 →
I69.81— Excludes1 conflict (Excludes1 — generally not reported together)
Not coded here — the tabular list excludes this pair for the same encounter.
Not reported together with this code, except where the two conditions are documented as unrelated.
What moves you there: Documentation of cognitive deficits as sequelae of cerebrovascular disease moves the case to I69.81; the two are not reported together unless documented as unrelated.
Full comparison: R41.842 vs I69.81 →
I69.91— Excludes1 conflict (Excludes1 — generally not reported together)
Not coded here — the tabular list excludes this pair for the same encounter.
Not reported together with this code, except where the two conditions are documented as unrelated.
What moves you there: Documentation of cognitive deficits as sequelae of cerebrovascular disease moves the case to I69.91; the two are not reported together unless documented as unrelated.
Full comparison: R41.842 vs I69.91 →

Relationships are read from this code's own official notes, its laterality siblings and its encounter family; the wording of each distinction is MedCoder editorial, and the documentation named in each “what moves you there” line is the official note phrase or sibling title itself. Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a.

Decision Points

The directives on this code's own record, as a pre-claim checklist.

Sequencing: 2 Code First instructions — the underlying condition is sequenced before this code when present. See the Code First notes
3 Excludes1 entries — codes named there are generally not reported together with this code (Guidelines I.A.12.a). See the Excludes1 notes
1 Excludes2 entry — those conditions are not part of this code and may be reported additionally when documented. See the Excludes2 notes

Checklist rows are derived from this code's own official directives; the wording of each check is MedCoder editorial. The official notes themselves are in the sections each row links to.

Verify Before Coding

No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder structured relationships — computed from published CMS and AHRQ datasets

Other codes that name R41.842 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 1 Excludes1 note: R41.4 — Neurologic neglect syndrome.

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

Referenced by 1 Use Additional Code instruction: F20 — Schizophrenia (via R41.84.-).

These codes instruct coders to additionally report this code when it applies.

MS-DRG Grouper Relationships (FY2026)

Potential MS-DRG participation — not a DRG assignment.

FY2026 MS-DRG: not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity for that release.

Named in the grouper logic of 3 MS-DRGs: DRG 091 (MDC 01), DRG 092 (MDC 01), DRG 093 (MDC 01).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):SYM010 — Nervous system signs and symptoms (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Nervous system signs and symptoms).

R41.0 — Disorientation, unspecified, R41.1 — Anterograde amnesia, R41.2 — Retrograde amnesia, R41.3 — Other amnesia, R41.4 — Neurologic neglect syndrome, R41.81 — Age-related cognitive decline, R41.82 — Altered mental status, unspecified, R41.83 — Borderline intellectual functioning, R41.840 — Attention and concentration deficit, R41.841 — Cognitive communication deficit, R41.843 — Psychomotor deficit, R41.844 — Frontal lobe and executive function deficit, R41.85 — Anosognosia, R41.89 — Other symptoms and signs involving cognitive functions and awareness, R41.9 — Unspecified symptoms and signs involving cognitive functions and awareness, R43.0 — Anosmia, R43.1 — Parosmia, R43.2 — Parageusia, R43.8 — Other disturbances of smell and taste, R43.9 — Unspecified disturbances of smell and taste, +138 more

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Deficit”; these codes share that main term but sit in a different category of the Tabular List.

Contextual Map

Every relationship of R41.842 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run R41.842 with these 2 related codes in Claim Check

Hierarchy

R00-R99 — Chapter 18: Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99) (R00-R99)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
R40-R46 — Symptoms and signs involving cognition, perception, emotional state and behavior[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026

Referenced by Excludes1 notes

R41.4 — Neurologic neglect syndrome[Excludes1]: “visuospatial deficit (R41.842)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026

Referenced by Use Additional Code instructions

F20 — Schizophrenia[Use Additional Code](via R41.84.-): “other specified cognitive deficit (R41.84-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026

Clinical classification (CCSR)

SYM010 — Nervous system signs and symptoms[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)

MS-DRG Grouper

DRG 091 — OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC[MS-DRG]: “OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
DRG 092 — OTHER DISORDERS OF NERVOUS SYSTEM WITH CC[MS-DRG]: “OTHER DISORDERS OF NERVOUS SYSTEM WITH CC (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
DRG 093 — OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC[MS-DRG]: “OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026

MDC crossing

MDC 01 — Diseases and Disorders of the Nervous System[MDC crossing]: “Diseases and Disorders of the Nervous System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 8,892 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2026

Index entries

Deficit, visuospatial[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026

Nearest codes (18)

R41 — Other symptoms and signs involving cognitive functions and awareness[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
R41.0 — Disorientation, unspecified[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
R41.1 — Anterograde amnesia[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
R41.2 — Retrograde amnesia[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
R41.3 — Other amnesia[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
R41.4 — Neurologic neglect syndrome[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
R41.8 — Other symptoms and signs involving cognitive functions and awareness[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
R41.81 — Age-related cognitive decline[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
and 10 more

Change history

FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data: CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
Claim edits Official source data: CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
Inpatient payment groups Official source data: CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43 Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data: CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder structured relationship: Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder explanation: Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "R41.842 — Visuospatial deficit." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/r41.842-visuospatial-deficit

Change history

FY2016 — October 1, 2015
In the code set at ICD-10-CM adoption
Visuospatial deficit

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to R41.842 in its code family, with their registry titles.

View all codes in the R41 family

R41.842 ICD-10-CM Code: Visuospatial deficit

Coding at a Glance

Inpatient Payment Groups (MS-DRG)

Coding instructions

Excludes1 — Not Coded Here

Excludes2 — Not Included Here

Code First

Coder workflow for R41.842

Before you code R41.842

Choose the right path

Documentation check

Official instructions as workflow

Coding decision scenarios

Code Overview

Indexed Clinical Terms (1)

Don’t confuse R41.842 with…

Decision Points

Verify Before Coding

Relationships & Classification

MS-DRG Grouper Relationships (FY2026)

Related Codes

Same clinical category (CCSR)

Same Index main term, other category

Contextual Map

Hierarchy

Referenced by Excludes1 notes

Referenced by Use Additional Code instructions

Clinical classification (CCSR)

MS-DRG Grouper

MDC crossing

Index entries

Nearest codes (18)

Change history

Sources for this page

Cite this page

Change history

Nearest Codes in This Family