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v1.0.0
ICD-10 Guide
ICD-10 CodesR41.840

R41.840

Attention and concentration deficit

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

Code Description

ICD-10 R41.840 is a billable code used to indicate a diagnosis of attention and concentration deficit.

Key Diagnostic Point:

Attention and concentration deficit refers to a clinical presentation characterized by difficulties in maintaining focus, sustaining attention, and processing information effectively. This symptom can manifest in various ways, including distractibility, forgetfulness, and an inability to complete tasks. Patients may report feeling overwhelmed by stimuli, leading to challenges in both academic and occupational settings. The deficits can arise from a multitude of underlying causes, including neurological disorders, psychiatric conditions, or environmental factors. Clinical assessment often involves a thorough history-taking, cognitive testing, and possibly neuropsychological evaluations to determine the extent and impact of the deficits. Laboratory findings may be normal, but in some cases, additional tests may be warranted to rule out metabolic or endocrine disorders contributing to cognitive impairment. The complexity of diagnosing attention and concentration deficits lies in the subjective nature of the symptoms and the need to differentiate them from other cognitive disorders.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Subjectivity of symptoms
  • Need for comprehensive assessment
  • Differentiation from other cognitive disorders
  • Potential overlap with psychiatric conditions

Audit Risk Factors

  • Inadequate documentation of symptoms
  • Failure to specify underlying causes
  • Misuse of related codes
  • Lack of supporting clinical evidence

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed patient history, cognitive assessment results, and any relevant lab findings.

Common Clinical Scenarios

Patients presenting with vague complaints of forgetfulness or difficulty concentrating during routine check-ups.

Billing Considerations

Consider comorbid conditions such as depression or anxiety that may exacerbate attention deficits.

Emergency Medicine

Documentation Requirements

Acute presentation notes, including any immediate interventions and patient responses.

Common Clinical Scenarios

Patients presenting with acute confusion or altered mental status, requiring rapid assessment.

Billing Considerations

Differentiating between acute delirium and chronic attention deficits is crucial in emergency settings.

Coding Guidelines

Inclusion Criteria

Use R41.840 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used only when attention and concentration deficits are documented and not attributable to other specified conditions

Exclusion Criteria

Do NOT use R41.840 When
No specific exclusions found.

Related CPT Codes

96130CPT Code

Psychological testing evaluation

Clinical Scenario

Used when cognitive testing is performed to assess attention deficits.

Documentation Requirements

Document the tests performed and the rationale for testing.

Specialty Considerations

Ensure that the testing aligns with the clinical presentation and is justified.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of attention and concentration deficits, improving the ability to capture the nuances of cognitive impairments and their underlying causes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of attention and concentration deficits, improving the ability to capture the nuances of cognitive impairments and their underlying causes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of attention and concentration deficits, improving the ability to capture the nuances of cognitive impairments and their underlying causes.

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

Can R41.840 be used for patients with ADHD?

No, R41.840 should not be used for patients diagnosed with ADHD. Instead, use the appropriate ADHD codes.