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ICD-10-CM 2027

ICD-10 code for mental status change

R41.82

Altered mental status, unspecified

✓ Billable / specific

From the official ICD-10-CM alphabetic index entry “Change (s) (in) (of) › mental status”. Page updated September 29, 2026.

About coding mental status change

The ICD-10-CM code for mental status change is R41.82 (Altered mental status, unspecified).

Within R41.8, choose R41.82 (Altered mental status, unspecified) only when documentation doesn't support a more specific option: age-related cognitive decline (R41.81), borderline intellectual functioning (R41.83), other specified cognitive deficit (R41.84), Anosognosia (R41.85) and other symptoms and signs involving cognitive functions and awareness (R41.89).

Don't report R41.82 together with the conditions in its Excludes1 note: altered level of consciousness (R40.-), altered mental status due to known condition - code to condition and delirium NOS (R41.0).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

Don't confuse with (Excludes1 for R41.82)

  • altered level of consciousness (R40.-)
  • altered mental status due to known condition - code to condition
  • delirium NOS (R41.0)

Common questions about mental status change ICD-10 codes

What is the ICD-10 code for mental status change?

R41.82 — Altered mental status, unspecified.

Is R41.82 billable?

Yes. R41.82 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can R41.82 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict R41.82 as a principal diagnosis.

Is R41.82 a CC or MCC?

No. R41.82 is neither a CC nor an MCC under MS-DRG v44.0.