R41.844 ICD-10-CM Code: Frontal lobe and executive function deficit
R41.844 is not a CMS-HCC payment code. MEAT criteria · RAF calculator · free HCC coding tools
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FY 2026 Apr update / Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99) / Symptoms and signs involving cognition, perception, emotional state and behavior (R40-R46)
R41.844
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceFrontal lobe and executive function deficit
Difficulty with executive functions such as planning, decision-making, problem-solving, or impulse control due to frontal lobe dysfunction.
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
N/A—
Not mapped
ACA/HHS
N/A—
Not mapped
ESRD/PACE
N/A—
Not mapped
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for R41.844 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for R41.844 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for R41.844 in this effective period.
Excludes 1
Official- cognitive deficits as sequelae of cerebrovascular disease (I69.01-, I69.11-, I69.21-, I69.31-, I69.81-, I69.91-)
Code First
Official- the underlying condition, if known, such as:
- schizophrenia (F20.-)
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for R41.844 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for R41.844 in this effective period.
Buddy Documentation Tip
Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →
Is R41.844 an HCC code?
No. R41.844 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
- Code
- R41.844
- Description
- Frontal lobe and executive function deficit
- HCC (V28)
- No CMS-HCC V28 mapping
- RAF
- —
- Billable
- Yes
- Payment year
- 2026
Coder workflow notes
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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
R41.844 is the ICD-10-CM diagnosis code for frontal lobe and executive function deficit. Difficulty with executive functions such as planning, decision-making, problem-solving, or impulse control due to frontal lobe dysfunction. R41.844 sits in the ICD-10-CM chapter for symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (r00-r99), within the section covering symptoms and signs involving cognition, perception, emotional state and behavior (r40-r46).
R41.844 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
Document specific deficits in planning, judgment, impulse control, or behavioral regulation.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for R41.844 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Document specific deficits in planning, judgment, impulse control, or behavioral regulation
- •Often seen with frontal lobe injuries, dementia, or traumatic brain injury