ICD-10 Coding for Forgetfulness(F04.0, G30.1)
Complete ICD-10-CM coding and documentation guide for Forgetfulness. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Forgetfulness
F04-F09Primary Range
Mental disorders due to known physiological conditions
This range includes codes for forgetfulness due to physiological causes.
Other degenerative diseases of the nervous system
Includes Alzheimer's disease, which can cause forgetfulness.
Symptoms and signs involving cognition, perception, emotional state and behavior
Includes codes for unspecified memory loss and cognitive symptoms.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F04.0 | Amnestic disorder due to known physiological condition | Use when forgetfulness is due to a known physiological condition. |
|
| G30.1 | Alzheimer's disease with late onset | Use for late-onset Alzheimer's with documented cognitive decline. |
|
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 forgetfulness
Essential facts and insights about Forgetfulness
Primary ICD-10-CM Codes for forgetfulness
Decision Criteria
clinical Criteria
- Presence of a documented physiological cause
Applicable To
- Memory loss due to medication toxicity
- Memory loss due to traumatic brain injury
Excludes
- Dementia in other diseases classified elsewhere (F02.-)
Clinical Validation Requirements
- Documented physiological cause such as medication or injury
- Cognitive assessments like MMSE or MoCA
Code-Specific Risks
- Incorrectly coding without a documented physiological cause
Coding Notes
- Ensure documentation specifies the physiological cause.
G30.1 - Alzheimer's disease with late onset
Use for late-onset Alzheimer's with documented cognitive decline.
Applicable To
- Late-onset Alzheimer's with memory loss
Excludes
- Dementia with Lewy bodies (G31.83)
Clinical Validation Requirements
- MRI showing hippocampal atrophy
- MoCA score ≤20
Coding Notes
Document severity and any behavioral disturbances.
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 Forgetfulness to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F04.0.
Impact
Clinical: Inaccurate diagnosis and treatment planning., Regulatory: Potential audit issues., Financial: Incorrect reimbursement.
Mitigation Strategy
Use specific terms like 'anterograde amnesia', Include cognitive assessment results
Impact
Reimbursement: May lead to incorrect DRG assignment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use F04.0 when a physiological cause is documented.
Impact
Failure to document severity can lead to audit findings.
Mitigation Strategy
Use standardized scales like CDR and MoCA.
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 Forgetfulness, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Forgetfulness
Use these documentation templates to ensure complete and accurate documentation for Forgetfulness. These templates include all required elements for proper coding and billing.
Progressive forgetfulness in elderly patient
Specialty: NeurologyRequired Elements
- Patient history
- Cognitive assessment scores
- Imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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