2025 ICD-10-CM code R41.842
Visuospatial deficit is a cognitive impairment affecting the ability to perceive and process spatial relationships.
Medical necessity for coding R41.842 is established by the presence of a clinically significant visuospatial deficit impacting daily functioning, following a proper assessment that has ruled out other more specific diagnoses. The deficit must be sufficiently documented to warrant a specific ICD-10 code.
Neurologists, psychiatrists, and other specialists depending on the underlying cause and associated symptoms.A comprehensive neuropsychological assessment may be required to determine the extent of the deficit and its impact on daily functioning. This would usually involve a neuropsychologist or clinical psychologist.
- 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)
In simple words: This code describes problems understanding and using spatial information.It means someone has trouble with things like judging distances, understanding where things are in relation to each other, or drawing or building things.
R41.842, Visuospatial deficit, is an ICD-10-CM code that classifies a cognitive impairment characterized by difficulties in perceiving, interpreting, and manipulating spatial information. This deficit may manifest in various ways, including problems with visual-spatial organization, depth perception, spatial memory, and constructional abilities.It is often associated with neurological conditions, but can also be seen in other circumstances.The code should only be used when a more specific diagnosis cannot be made. Excludes1: cognitive deficits as sequelae of cerebrovascular disease (I69.01-, I69.11-, I69.21-, I69.31-, I69.81-, I69.91-),dissociative [conversion] disorders (F44.-), mild cognitive impairment of uncertain or unknown etiology (G31.84).
Example 1: A 72-year-old patient presents with difficulty navigating familiar surroundings, misplacing objects, and struggling with drawing tasks. Neuropsychological testing reveals a visuospatial deficit, but no evidence of stroke or other neurological disease.R41.842 is assigned., A 65-year-old patient experiences a stroke affecting the right parietal lobe.Following the event, they demonstrate left-sided neglect and significant impairment in visuospatial tasks like copying drawings or dressing themselves.While I69.312 might initially seem appropriate, if the visuospatial deficit is the primary concern and a more detailed neurological assessment is pending, R41.842 could be used., A patient with a history of traumatic brain injury exhibits persistent difficulties with spatial reasoning, map reading, and judging distances.Imaging studies show no acute abnormalities.R41.842 is coded to reflect the visuospatial deficit as the primary finding.
* Detailed history of the onset and progression of symptoms.* Neuropsychological test results specifying the nature and severity of the visuospatial deficit.* Relevant neurological examination findings.* Imaging studies (e.g., MRI, CT) to rule out underlying neurological causes, if clinically indicated.* Documentation supporting the lack of more specific diagnosis after investigation.
** This code is often used as a placeholder when a more specific diagnosis is pending further investigation. It is crucial to document the attempts made to establish a more precise diagnosis.
- Payment Status: Active
- Specialties:Neurology, Psychiatry, Clinical Psychology, Geriatric Medicine
- Place of Service:Office, Hospital (Inpatient or Outpatient), Skilled Nursing Facility, Rehabilitation Facility