ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesR41.1

R41.1

Anterograde amnesia

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 R41.1 is a billable code used to indicate a diagnosis of anterograde amnesia.

Key Diagnostic Point:

Anterograde amnesia is a condition characterized by the inability to form new memories following the onset of the disorder. Patients with this condition can recall events that occurred prior to the onset but struggle to remember new information or experiences. This type of amnesia can result from various causes, including traumatic brain injury, stroke, certain neurodegenerative diseases, and psychological factors such as severe stress or trauma. Clinical presentations may include difficulty remembering recent conversations, appointments, or events, leading to significant impairment in daily functioning. Laboratory findings may not be directly associated with anterograde amnesia, but neuroimaging studies such as MRI or CT scans can reveal structural abnormalities in the brain that may contribute to the condition. Accurate diagnosis often requires a comprehensive assessment, including a detailed patient history, cognitive testing, and possibly neuropsychological evaluation to differentiate anterograde amnesia from other memory disorders.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes requiring thorough investigation
  • Potential overlap with other memory disorders
  • Need for detailed documentation of patient history and symptoms
  • Variability in clinical presentation among patients

Audit Risk Factors

  • Inadequate documentation of the patient's history and symptoms
  • Failure to specify the underlying cause of amnesia
  • Misclassification of anterograde amnesia as other types of amnesia
  • Lack of supporting clinical evidence for the diagnosis

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed patient history, including onset and duration of symptoms, and any relevant medical history.

Common Clinical Scenarios

Patients presenting with memory issues following a stroke or head injury.

Billing Considerations

Consideration of comorbid conditions that may affect cognitive function.

Emergency Medicine

Documentation Requirements

Acute assessment of cognitive function, including mental status examination and any immediate interventions.

Common Clinical Scenarios

Patients presenting after a head trauma or acute neurological event.

Billing Considerations

Rapid assessment and documentation of the patient's cognitive status are crucial for appropriate management.

Coding Guidelines

Inclusion Criteria

Use R41.1 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the patient's condition, including the context of the amnesia and any underlying causes

Exclusion Criteria

Do NOT use R41.1 When
No specific exclusions found.

Related CPT Codes

96116CPT Code

Neuropsychological testing

Clinical Scenario

Used to assess cognitive function in patients with suspected anterograde amnesia.

Documentation Requirements

Detailed report of cognitive assessment results and interpretation.

Specialty Considerations

Neuropsychologists should ensure comprehensive evaluation of memory function.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of memory disorders, improving the ability to capture the nuances of conditions like anterograde amnesia and facilitating better patient management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of memory disorders, improving the ability to capture the nuances of conditions like anterograde amnesia and facilitating better patient management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of memory disorders, improving the ability to capture the nuances of conditions like anterograde amnesia and facilitating better patient management.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the primary cause of anterograde amnesia?

Anterograde amnesia can be caused by various factors, including traumatic brain injury, stroke, certain medications, and psychological trauma. The underlying cause often determines the treatment and management approach.