2025 ICD-10-CM code R41.4
(Active) Effective Date: N/A Revision Date: N/A Neurological - Symptoms and signs involving cognition, perception, emotional state and behavior Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified Feed
Neurologic neglect syndrome, encompassing conditions like asomatognosia, hemi-akinesia, hemi-inattention, hemispatial neglect, and visuospatial neglect.
Modifiers may be applicable based on the specific services provided, such as those related to the type of visit or the location of the visit.
Medical necessity for diagnostic evaluation and treatment is established through symptoms of neurological neglect impacting daily activities such as self-care, mobility, and communication.Rehabilitation may be necessary if the neglect significantly impacts the patient's functional abilities.
Neurologists, physiatrists, and other specialists managing neurological conditions are responsible for diagnosing and treating neurologic neglect syndrome.Assessment involves neurological examination, cognitive testing, and imaging studies (e.g., MRI) to rule out underlying structural lesions.
- Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
- R41-R46 (Symptoms and signs involving cognition, perception, emotional state and behavior)
In simple words: Neurologic neglect syndrome means a person isn't aware of one side of their body or the space around them. This can affect their ability to move, pay attention, or see things on one side.It's different from other problems like simple vision or movement issues.
Neurologic neglect syndrome (R41.4) is characterized by a lack of awareness or attention to one side of the body or space. This can manifest as asomatognosia (lack of awareness of one's own body parts), hemi-akinesia (reduced movement on one side), hemi-inattention (reduced attention to one side), hemispatial neglect (neglect of one half of visual field), left-sided neglect (most common), sensory neglect, and visuospatial neglect.It's crucial to differentiate this from visuospatial deficit (R41.842), dissociative [conversion] disorders (F44.-), and mild cognitive impairment of uncertain or unknown etiology (G31.84).
Example 1: A patient post-stroke presents with left-sided neglect, ignoring stimuli on the left side and only shaving the right side of their face.They may also bump into objects on their left side, despite having normal visual acuity., A patient with a traumatic brain injury exhibits hemispatial neglect, struggling to read words on the left half of a page or draw complete figures., A patient with Alzheimer's disease develops progressive neurologic neglect, initially manifesting as inattention to one side of the body and later progressing to more severe symptoms such as dressing only one side of the body.
Detailed neurological examination documenting specific deficits (e.g., visual field testing, sensory examination, motor assessment).Neuroimaging (CT or MRI) to rule out structural lesions.Cognitive testing (e.g., Mini-Mental State Examination) to assess overall cognitive status.Detailed history of the onset and progression of symptoms.
** Always consider other diagnoses that may be present in conjunction with neurologic neglect.Thorough documentation is crucial to support the medical necessity for evaluation and treatment.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD codes.
- Specialties:Neurology, Physical Medicine and Rehabilitation, Geriatrics
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office, Skilled Nursing Facility