R41.4Neurologic neglect syndrome

R41.4 is the ICD-10-CM diagnosis code for neurologic neglect syndrome. It belongs to category R41 (other symptoms and signs involving cognitive functions and awareness), block R40-R46 (symptoms and signs involving cognition, perception, emotional state and behavior) and chapter 18 (symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within R41 (other symptoms and signs involving cognitive functions and awareness), R41.4 is specifically for neurologic neglect syndrome. Related codes cover Disorientation, unspecified (R41.0), Anterograde amnesia (R41.1), retrograde amnesia (R41.2), other amnesia (R41.3), other symptoms and signs involving cognitive functions and awareness (R41.8) and unspecified symptoms and signs involving cognitive functions and awareness (R41.9).

Don't report R41.4 together with the conditions in its Excludes1 note: visuospatial deficit (R41.842).

As a secondary diagnosis it is a CC (complication or comorbidity), which can move an inpatient stay into the "with CC" MS-DRG of its family, unless the principal diagnosis excludes it.

In MS-DRG v44.0, it is part of the grouping logic for DRG 091 (Other Disorders of Nervous System with MCC, relative weight 1.7046), DRG 092 (Other Disorders of Nervous System with CC, relative weight 1.0239) and DRG 093 (Other Disorders of Nervous System without CC/MCC, relative weight 0.7783), in MDC 01 (Diseases and Disorders of the Nervous System), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 781.8 (neurologic neglect syndrome).