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

ICD-10 R48.3

Billable / Specific

Visual agnosia

R48
Block
2
Synonyms
80
LCDs
9
Payer Policies
0
Linked CPTs

About ICD-10-CM R48.3

ICD-10-CM code R48.3 represents Visual agnosia. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R48). The 2026 edition of ICD-10-CM R48.3 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under R48.3. Per CMS ICD-10-CM Tabular 2026.

  • Prosopagnosia
  • Simultanagnosia (asimultagnosia)

Medicare LCD Coverage for R48.3

Local Coverage Determinations (LCDs) from CMS MACs that list R48.3 as a covered diagnosis.

80 LCDs

Showing top 10 of 80 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Article ID: 53060, Effective: 2025-10-01 00:00:00, 1692 covered, 0 non-covered
CPT 92201 →
CMS LCD: Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Article ID: 53060, Effective: 2025-10-01 00:00:00, 1692 covered, 0 non-covered
CPT 92250 →
CMS LCD: Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Article ID: 53060, Effective: 2025-10-01 00:00:00, 1692 covered, 0 non-covered
CPT 92202 →
CMS LCD: Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Article ID: 53060, Effective: 2025-10-01 00:00:00, 1692 covered, 0 non-covered
CPT 92227 →
CMS LCD: Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Article ID: 53060, Effective: 2025-10-01 00:00:00, 1692 covered, 0 non-covered
CPT 92228 →
CMS LCD: Billing and Coding: Transesophageal Echocardiography (TEE)
Article ID: 56505, Effective: 2026-02-26 00:00:00, 501 covered, 1 non-covered
CPT 93320 →
CMS LCD: Billing and Coding: Transesophageal Echocardiography (TEE)
Article ID: 56505, Effective: 2026-02-26 00:00:00, 501 covered, 1 non-covered
CPT 93313 →
CMS LCD: Billing and Coding: Transesophageal Echocardiography (TEE)
Article ID: 56505, Effective: 2026-02-26 00:00:00, 501 covered, 1 non-covered
CPT 93312 →
CMS LCD: Billing and Coding: Transesophageal Echocardiography (TEE)
Article ID: 56505, Effective: 2026-02-26 00:00:00, 501 covered, 1 non-covered
CPT 93318 →
CMS LCD: Billing and Coding: Transesophageal Echocardiography (TEE)
Article ID: 56505, Effective: 2026-02-26 00:00:00, 501 covered, 1 non-covered
CPT Q9956 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing R48.3.

9 policies

5 Medicare

Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
Policy ID: ART-53060
Billing and Coding: Transesophageal Echocardiography (TEE)
Policy ID: ART-56505
Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
Policy ID: ART-56726
Billing and Coding: Neurophysiology Evoked Potentials (NEPs)
Policy ID: ART-56773
Billing and Coding: Visual Fields Testing
Policy ID: ART-56799

CPT Codes Commonly Billed with R48.3

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

No procedure linkages on file for R48.3

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 R48.3 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
R48.3 36816 10000

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

ICD-10 R48.3, Billing FAQ

Is ICD-10 code R48.3 billable? +

Yes, R48.3 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 R48.3? +

ICD-10 R48.3 includes: Prosopagnosia; Simultanagnosia (asimultagnosia).

What ICD-9 codes does R48.3 map to? +

Per CMS GEMs, R48.3 maps to ICD-9 codes: 36816. 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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