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

ICD-10 R41.82

Billable / Specific

Altered mental status, unspecified

R41
Block
1
Synonyms
874
LCDs
23
Payer Policies
0
Linked CPTs

About ICD-10-CM R41.82

ICD-10-CM code R41.82 represents Altered mental status, unspecified. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R41). The 2026 edition of ICD-10-CM R41.82 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under R41.82. Per CMS ICD-10-CM Tabular 2026.

  • Change in mental status NOS

Type 1 Excludes

Pure excludes, these codes can never be coded together with R41.82. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

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

Medicare LCD Coverage for R41.82

Local Coverage Determinations (LCDs) from CMS MACs that list R41.82 as a covered diagnosis.

874 LCDs

Showing top 10 of 874 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 R41.82.

23 policies

2 Cigna

Anesthesia Services for Interventional Pain Management Procedures in an Adult - (0551)
Policy ID: MM_0551
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: Assays for Vitamins and Metabolic Function
Policy ID: ART-56416
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

CPT Codes Commonly Billed with R41.82

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

No procedure linkages on file for R41.82

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert R41.82 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
R41.82 78097 10000

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

ICD-10 R41.82, Billing FAQ

Is ICD-10 code R41.82 billable? +

Yes, R41.82 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 R41.82? +

ICD-10 R41.82 includes: Change in mental status NOS.

What codes are Type 1 Excludes for R41.82? +

Type 1 Excludes (never code together with R41.82): altered level of consciousness (R40.-); altered mental status due to known condition - code to condition; delirium NOS (R41.0)

What ICD-9 codes does R41.82 map to? +

Per CMS GEMs, R41.82 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 May 31, 2026.

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