ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 R41.0

Billable / Specific

Disorientation, unspecified

R41
Block
2
Synonyms
328
LCDs
17
Payer Policies
6
Linked CPTs

About ICD-10-CM R41.0

ICD-10-CM code R41.0 represents Disorientation, unspecified. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R41). The 2026 edition of ICD-10-CM R41.0 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under R41.0. Per CMS ICD-10-CM Tabular 2026.

  • Confusion NOS
  • Delirium NOS

Type 1 Excludes

Pure excludes, these codes can never be coded together with R41.0. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • delirium due to known physiological condition (F05)

Medicare LCD Coverage for R41.0

Local Coverage Determinations (LCDs) from CMS MACs that list R41.0 as a covered diagnosis.

328 LCDs

Showing top 10 of 328 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Magnesium
Article ID: 59186, Effective: 2025-10-01 00:00:00, 4358 covered, 0 non-covered
CPT 83735 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT G0480 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT G0481 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT G0482 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT G0483 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT 80305 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT G0659 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT 80307 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT 80306 →
CMS LCD: Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
Article ID: 56645, Effective: 2024-10-01 00:00:00, 1310 covered, 1 non-covered
CPT G0480 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing R41.0.

17 policies

1 Cigna

Duplex Scan of Extracranial Arteries - (0542)
Policy ID: MM_0542

5 Medicare

Billing and Coding: Urine Drug Testing
Policy ID: ART-54799
Billing and Coding: CT of the Head
Policy ID: ART-56612
Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
Policy ID: ART-56645
Billing and Coding: Respiratory Therapy and Oximetry Services
Policy ID: ART-56730
Billing and Coding: Magnetic Resonance Angiography (MRA)
Policy ID: ART-56747

CPT Codes Commonly Billed with R41.0

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

6 linkages
  • 99205 New patient office visit — complex/high-risk: uncontrolled diabetes, heart failure, COPD exacerbation, cancer, MS, RA, CKD, CAD, recurrent depression, epilepsy, lupus, syncope, cognitive decline Primary Care
  • 99215 Established patient — high complexity: HF exacerbation, COPD exacerbation, cancer management, MS, advanced CKD, uncontrolled diabetes, recurrent syncope, respiratory failure, liver cirrhosis Primary Care
  • 70553 MRI brain with and without contrast — migraine, headache, encephalopathy, brain cancer, epilepsy, brain neoplasm, cognitive decline, MS, hydrocephalus, aphasia, numbness Radiology
  • 70551 MRI brain without contrast — migraine, headache, encephalopathy, cognitive decline, MS, epilepsy, syncope, dizziness Radiology
  • 95819 EEG awake and asleep — epilepsy, generalized seizures, absence seizures, focal seizures, seizure NOS, fasciculations, syncope, encephalopathy, cognitive decline, aphasia, migraine, headache, insomnia Neurology
  • 95816 EEG awake only — epilepsy, seizures, encephalopathy, cognitive decline, syncope Neurology

Convert R41.0 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
R41.0 78097 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 R41.0, Billing FAQ

Is ICD-10 code R41.0 billable? +

Yes, R41.0 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to R41.0? +

ICD-10 R41.0 includes: Confusion NOS; Delirium NOS.

What codes are Type 1 Excludes for R41.0? +

Type 1 Excludes (never code together with R41.0): delirium due to known physiological condition (F05)

What CPT codes are commonly billed with R41.0? +

Procedures frequently paired with R41.0 include: 99205, 99215, 70553, 70551, 95819.

What ICD-9 codes does R41.0 map to? +

Per CMS GEMs, R41.0 maps to ICD-9 codes: 78097. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on June 1, 2026.

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