ICD-10 Coding for Major Neurocognitive Disorder with Behavioral Disturbance(F02.C11)
Complete ICD-10-CM coding and documentation guide for Major Neurocognitive Disorder with Behavioral Disturbance. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Major Neurocognitive Disorder with Behavioral Disturbance
F01-F03Primary Range
Mental and behavioral disorders due to known physiological conditions
This range includes codes for major neurocognitive disorders with various etiologies and behavioral disturbances.
Alzheimer's disease
Used to code the underlying etiology when Alzheimer's disease is the cause of the neurocognitive disorder.
Key Information: ICD-10 code for major neurocognitive disorder with behavioral disturbance
Essential facts and insights about Major Neurocognitive Disorder with Behavioral Disturbance
Primary ICD-10-CM Code for major neurocognitive disorder with behavioral disturbance
Decision Criteria
clinical Criteria
- Presence of severe cognitive impairment and agitation
documentation Criteria
- Detailed documentation of behavioral symptoms
Applicable To
- Severe dementia with agitation
Excludes
- Delirium (F05)
Clinical Validation Requirements
- Documented severe cognitive impairment
- Behavioral symptoms such as agitation
Code-Specific Risks
- Misclassification if severity or behavior is not documented
Coding Notes
- Ensure to document both severity and specific behavioral disturbances.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Alzheimer's disease, unspecified
G30.9Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Major Neurocognitive Disorder with Behavioral Disturbance to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F02.C11.
Impact
Clinical: May lead to inadequate treatment planning., Regulatory: Non-compliance with coding guidelines., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Implement checklists for behavioral symptoms, Regular training on documentation standards
Impact
Reimbursement: May lead to incorrect reimbursement levels., Compliance: Could result in non-compliance with coding standards., Data Quality: Impacts the accuracy of health records.
Mitigation Strategy
Clearly document the severity level of the cognitive impairment.
Impact
Inadequate documentation of severity can lead to audit findings.
Mitigation Strategy
Use standardized scales to document severity.
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 Major Neurocognitive Disorder with Behavioral Disturbance, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Major Neurocognitive Disorder with Behavioral Disturbance
Use these documentation templates to ensure complete and accurate documentation for Major Neurocognitive Disorder with Behavioral Disturbance. These templates include all required elements for proper coding and billing.
Severe Alzheimer's with agitation
Specialty: NeurologyRequired Elements
- Cognitive status assessment
- Behavioral symptoms description
- Functional impact
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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