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 CodesR48.1

R48.1

Agnosia

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

Code Description

ICD-10 R48.1 is a billable code used to indicate a diagnosis of agnosia.

Key Diagnostic Point:

Agnosia is a neurological condition characterized by the inability to recognize and interpret sensory stimuli, despite intact sensory function. This disorder can affect various modalities, including visual, auditory, and tactile recognition. Patients may be able to see, hear, or feel objects but cannot identify them or assign meaning to them. Common symptoms include difficulty recognizing familiar faces (prosopagnosia), inability to recognize objects (object agnosia), or challenges in understanding spoken language (auditory agnosia). Agnosia can arise from various underlying conditions, including stroke, traumatic brain injury, neurodegenerative diseases, or infections affecting the brain. The clinical presentation can vary widely depending on the specific type of agnosia and the areas of the brain that are affected. Diagnosis typically involves a thorough neurological examination, neuropsychological testing, and imaging studies to identify any structural brain abnormalities. Treatment focuses on rehabilitation strategies to help patients cope with their deficits and improve their quality of life.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes (e.g., stroke, tumors, neurodegenerative diseases)
  • Need for comprehensive documentation of symptoms and clinical findings
  • Potential overlap with other neurological conditions
  • Variability in presentation and severity among patients

Audit Risk Factors

  • Inadequate documentation of the specific type of agnosia
  • Failure to document the underlying cause of agnosia
  • Misclassification of agnosia with other cognitive disorders
  • Lack of supporting clinical evidence for the diagnosis

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed history of present illness, neurological examination findings, and any relevant imaging or lab results.

Common Clinical Scenarios

Patients presenting with cognitive decline, memory issues, or changes in sensory perception.

Billing Considerations

Consider comorbid conditions that may contribute to cognitive impairment.

Emergency Medicine

Documentation Requirements

Acute assessment of neurological status, including mental status examination and any immediate imaging results.

Common Clinical Scenarios

Patients presenting with sudden onset of confusion or altered mental status, possibly due to stroke or head injury.

Billing Considerations

Rapid identification of potential life-threatening conditions that may cause agnosia.

Coding Guidelines

Inclusion Criteria

Use R48.1 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the diagnosis is supported by clinical documentation and that the specific type of agnosia is clearly identified

Exclusion Criteria

Do NOT use R48.1 When
No specific exclusions found.

Related CPT Codes

96116CPT Code

Neuropsychological testing

Clinical Scenario

Used to assess cognitive function in patients suspected of having agnosia.

Documentation Requirements

Detailed report of cognitive assessments and findings.

Specialty Considerations

Important for neurologists and psychologists to document specific deficits.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of agnosia, enabling better tracking of this condition and its underlying causes, which can improve patient care and research outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of agnosia, enabling better tracking of this condition and its underlying causes, which can improve patient care and research outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of agnosia, enabling better tracking of this condition and its underlying causes, which can improve patient care and research outcomes.

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 difference between agnosia and aphasia?

Agnosia is the inability to recognize objects or stimuli despite intact sensory function, while aphasia is a language disorder affecting the ability to communicate. Both can occur due to brain damage but affect different cognitive functions.