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R41.82

Billable

Altered mental status, unspecified

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A change in a person's mental status, awareness, or consciousness that cannot be more specifically identified or classified.

Coding Tips

  • •Use as a last resort when the specific type of mental status change is unclear or not documented
  • •Encourage providers to document more specific findings (confusion, disorientation, lethargy, etc.)

Excludes 1 — Do NOT code together

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

Code Hierarchy

└R41Other symptoms and signs involving cognitive functions and awareness└R41.8Other symptoms and signs involving cognitive functions and awareness└R41.82Altered mental status, unspecified
└R41.82Altered mental status, unspecified

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