ICD-10 Coding for Dementia with Agitation(F01.C11, F02.B11, F03.C11)
Complete ICD-10-CM coding and documentation guide for Dementia with Agitation. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Dementia with Agitation
F01-F03Primary Range
Mental and behavioral disorders due to known physiological conditions
This range includes codes for different types of dementia, specifying severity and associated symptoms like agitation.
Alzheimer's disease
Codes in this range are used to specify Alzheimer's disease, which may be an underlying cause of dementia.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F01.C11 | Vascular dementia, severe, with agitation | Use when documenting severe vascular dementia with significant agitation. |
|
| F02.B11 | Dementia in other diseases classified elsewhere, moderate, with agitation | Use for moderate dementia with agitation due to another specified disease. |
|
| F03.C11 | Unspecified dementia, severe, with agitation | Use when dementia type is unspecified but severe agitation is present. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for dementia with agitation
Essential facts and insights about Dementia with Agitation
Primary ICD-10-CM Codes for dementia with agitation
Decision Criteria
clinical Criteria
- Presence of severe agitation and vascular etiology
Applicable To
- Severe vascular dementia with behavioral disturbances
Excludes
- Dementia with psychotic symptoms
Clinical Validation Requirements
- History of cerebrovascular disease
- Behavioral assessments indicating severe agitation
Code-Specific Risks
- Incorrectly coding without specifying severity
Coding Notes
- Ensure severity and agitation are clearly documented.
F02.B11 - Dementia in other diseases classified elsewhere, moderate, with agitation
Use for moderate dementia with agitation due to another specified disease.
Applicable To
- Moderate dementia with agitation due to Parkinson's disease
Excludes
- Dementia with psychotic symptoms
Clinical Validation Requirements
- Diagnosis of underlying disease such as Parkinson's
- Behavioral assessments indicating moderate agitation
Coding Notes
Document both the underlying disease and the severity of dementia.
F03.C11 - Unspecified dementia, severe, with agitation
Use when dementia type is unspecified but severe agitation is present.
Applicable To
- Severe dementia with agitation of unspecified type
Excludes
- Dementia with psychotic symptoms
Clinical Validation Requirements
- Severe cognitive impairment with agitation
- No specific type of dementia identified
Coding Notes
Ensure documentation supports severe agitation.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Dementia with Agitation to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F01.C11.
Impact
Clinical: Impacts treatment planning and outcomes., Regulatory: Non-compliance with documentation standards., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Always document the type of dementia if known., Use queries to clarify unspecified documentation.
Impact
Reimbursement: May result in lower reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of health records.
Mitigation Strategy
Always document and code the severity of dementia.
Impact
Lack of documented severity can lead to audit flags.
Mitigation Strategy
Implement templates that prompt for severity documentation.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Dementia with Agitation, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Dementia with Agitation
Use these documentation templates to ensure complete and accurate documentation for Dementia with Agitation. These templates include all required elements for proper coding and billing.
Neurology Consultation for Dementia
Specialty: NeurologyRequired Elements
- Diagnosis
- Agitation Details
- Severity
- Assessment Tools
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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