![]() ![]() ![]() The National Minority Quality Forum requested the coding changes because the previous codes for dementia did not identify either the stage of severity or the presence of specific behavioral and psychological symptoms of dementia (BPSD). ![]() With psychotic disturbance including hallucinations, paranoia, suspiciousness, and delusional state.Social disinhibition, (eg, intrusiveness).With other behavioral disturbance: Includes the following:.With mood disturbance including depression, apathy, anhedonia (lack of pleasure), and euphoria (great happiness).Verbal or physical behaviors such as profanity, shouting, threatening, anger, aggression,combativeness, or violence.Aberrant motor behavior, (e.g., rocking, pacing, restlessness, exit-seeking).Aggression (physical, verbal) such as profanity, shouting, threatening, anger, combativeness, or violence.With agitation: Includes the following:.Without behavioral / psychotic / mood / disturbance and anxiety.However, this has been changed and is now broken down into the following different types: Prior to October 1, 2022, it was only necessary to report that there were behavioral disturbances. Behavioral and Psychological Symptoms of Dementia Complete dependency due to severe functional impact on daily life with impairment in basic activities, including basic self-care.Įven though there is a subcategory for unspecified dementia codes for reimbursement purposes, it is always best to avoid using unspecified codes in order to improve communication with third-party payers. Severe: Clinical interview may not be possible.No longer independent and requires frequent assistance with daily life activities. Moderate: Extensive functional impact on daily life with impairment in basic activities.In other words, the patient is no longer fully independent and/or requires occasional assistance with daily life activities. Mild: Clearly evident functional impact on daily life, affecting mainly instrumental activities ( things you do every day to take care of yourself and your home).It is essential to clearly document the severity of the dementia as one of the following generally accepted levels: A substance use disorder coding table is included in the Behavioral Health Reimbursement Guide (available in the Find-A-Code online store). Note: There are other codes for dementia caused by substances such as F18.27 “Inhalant dependence with inhalant-induced dementia.” These diagnoses are not covered in this article. Within the ICD-10-CM code structure, dementia will most commonly be reported a code from the following three categories:į02 - “Dementia in other diseases classified elsewhere”Ĭode selection is based on the severity (e.g., mild, moderate) as well as any associated behavioral and psychological symptoms of dementia (BPSD), non-cognitive behavioral changes (NCBC), or neuropsychiatric symptoms (NPS). As of October 1, 2022, there were some significant changes in regards to reporting this condition, so it is important for healthcare professionals to be aware of those changes to ensure that there is proper documentation supporting the ICD-10-CM diagnosis code reported. News - industry news & Find-A-Code updatesīy Wyn Staheli, Director of Content - innoviHealthĭementia is a neurocognitive disorder characterized by a meaningful decline in cognition and daily functioning. ![]()
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