Skip to main content

Dementia

 Dementia

ICD-10-CM classifies dementia on the basis of: etiology, severity and associated behavioral disturbances. 

Etiology refers to the type of dementia. This can include:

    Vascular dementia F01

    Dementia in other diseases classified elsewhere F02

    Unspecified dementia F03

Severity includes mild, moderate and severe:

                Mild - Clearly evident functional impact on daily life, affecting mainly instrumental activities. No longer fully independent; requires occasional assistance with ADLs.

                Moderate - Extensive functional impact on daily life with impairment in basic activities. No longer independent; requires frequent assistance with ADLs.

                Severe - Clinical interview may not be possible. Complete dependency due to severe functional impact on daily life with impairment in basic activities, including basic self-care.

                *interpretation of results from MoCA score


The diagnoses include options for associated behavioral disturbances: (5th-6th digits in code)

                0 = without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety

                11 = with agitation

                18 = with other behavioral disturbance

                2 = with psychotic disturbance

                3 = with mood disturbance

                4 = with anxiety

 

Also include documentation of:

Complications to dementia: Wandering Z91.83, Sundowning F05, restlessness, violence, delirium, etc.

 

Documentation tips:

Dementia should be linked to any known etiology with causal language, e.g. “Dementia due to Parkinson’s disease.” This documentation results in two codes: Parkinson’s G20, Dementia in diseases classified elsewhere F02.80.

 



Disclaimer: This guidance is to be used for an easy reference; the ICD-9-CM and ICD-10-CM code books and the Official Guidelines for Coding and Reporting are the authoritative references for accurate and complete coding. This blog may contain references or links to statutes, regulations, or other policy materials. It is not intended to take the place of either the written law or regulations.  The information presented herein is for general informational purposes only and is accurate as of the date of publication.

Labels:
Location: San Diego, CA, USA

Comments

Post a Comment

Popular posts from this blog

Guidelines for HIV coding

Chapter 1: Certain Infectious and Parasitic diseases (A00-B99) Human Immunodeficiency virus (HIV) Infections B20 Human immunodeficiency virus (HIV) disease (symptomatic) R75 Inconclusive laboratory evidence of human immunodeficiency virus (HIV) Z20.6 Contact with and exposure to human immunodeficiency virus (HIV) Z11.4 Encounter for screening for human immunodeficiency virus (HIV) Z71.7 human immunodeficiency virus [HIV] counseling Z21 Asymptomatic human immunodeficiency virus (HIV) infection status “Confirmation” does NOT require documentation for positive serology or culture for HIV; the provider’s diagnostic statement that the patient is HIV positive, or has an HIV-related illness is sufficient.   Once a patient is diagnosed with B20, they should never be assigned R75 or Z21. Sequencing of HIV Codes B20 should be sequenced as the first-listed diagnosis when patient is treated for an HIV related condition. Any non-related conditions get sequenced followi...
14 comments
Read more

Table VI-4. Disease Hierarchies for the 2017 CMS-HCC Model

If the Disease Group is Listed in this column… …Then drop the Disease Group(s) listed in this column is found here : Announcement of Calendar Year (CY) 2017 Medicare Advantage Capitation Rates and Medicare Advantage and Part D Payment Policies and Final Call Letter Found at: https://www.cms.gov/Medicare/HealthPlans/MedicareAdvtgSpecRateStats/Downloads/Announcement2017.pdf P 87 If the Disease Group is Listed in this column… …Then drop the Disease Group(s) listed in this column Disclaimer: This guidance is to be used for an easy reference; the ICD-9-CM and ICD-10-CM code books and the Official Guidelines for Coding and Reporting are the authoritative references for accurate and complete coding. This blog may contain references or links to statutes, regulations, or other policy materials. It is not intended to take the place of either the written law or regulations.  The information presented herein is for general informational purposes only and is accurate as of the dat...
1 comment
Read more

Major Depressive Disorder

Major depressive disorder According to the American Psychiatric Association, major depressive disorder can be seen in patients who have suffered a depressive episode lasting at least two weeks, as manifested by at least five of the following symptoms: depressed mood, loss of interest or pleasure in most or all activities, insomnia or hypersomnia, change in appetite or weight, psychomotor retardation or agitation, low energy, poor concentration, thoughts of worthlessness or guilt, and recurrent thoughts about death or suicidal ideation. Major depression is highly recurrent, with recurrent episodes occurring in 50% or more of patients. Remission and recovery from major depression Whether or not a patient is being treated for depression (e.g., counseling and/or medication), remission can be defined as a level of depressive symptoms basically indistinguishable from that in someone who has never been depressed. When reporting history of major depressive disorder, instead of coding V1...
9 comments
Read more