ICD-10 Coding for Major Neurocognitive Disorder(F02.C11, G30.9)
Complete ICD-10-CM coding and documentation guide for Major Neurocognitive Disorder. 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
F01-F09Primary Range
Mental disorders due to known physiological conditions
This range includes codes for major neurocognitive disorders with specific etiologies.
Other degenerative diseases of the nervous system
This range includes codes for Alzheimer's disease and other degenerative conditions that can cause major neurocognitive disorder.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F02.C11 | Dementia in other diseases classified elsewhere with agitation | Use when major neurocognitive disorder is accompanied by agitation. |
|
| G30.9 | Alzheimer's disease, unspecified | Use as a primary code for Alzheimer's disease when specific symptoms are not detailed. |
|
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 major neurocognitive disorder
Essential facts and insights about Major Neurocognitive Disorder
Primary ICD-10-CM Codes for major neurocognitive disorder
Decision Criteria
clinical Criteria
- Presence of agitation in a patient with a known neurocognitive disorder.
Applicable To
- Major neurocognitive disorder with agitation
Excludes
- Delirium (F05)
Clinical Validation Requirements
- Documented history of agitation
- Cognitive testing showing significant decline
Code-Specific Risks
- Ensure agitation is documented as a persistent symptom.
Coding Notes
- Ensure proper sequencing with the underlying condition coded first.
G30.9 - Alzheimer's disease, unspecified
Use as a primary code for Alzheimer's disease when specific symptoms are not detailed.
Applicable To
- Probable Alzheimer's disease
Excludes
- Vascular dementia (F01.-)
Clinical Validation Requirements
- Neuroimaging showing hippocampal atrophy
- CSF biomarkers indicating Alzheimer's
Coding Notes
Sequence G30.9 before F02 codes.
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 Major Neurocognitive Disorder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F02.C11.
Impact
Clinical: Leads to inadequate treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Always verify etiology before coding., Use specific codes when documentation supports it.
Impact
Reimbursement: Incorrect sequencing can lead to denied claims., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Impacts accuracy of patient records.
Mitigation Strategy
Always code G30.9 before F02.C11.
Impact
High error rate in coding behavioral symptoms with neurocognitive disorders.
Mitigation Strategy
Ensure detailed documentation of symptoms and use of specific codes.
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 expert answers to help guide accurate code selection and documentation.
Documentation Templates for Major Neurocognitive Disorder
Use these documentation templates to ensure complete and accurate documentation for Major Neurocognitive Disorder. These templates include all required elements for proper coding and billing.
Alzheimer's with agitation
Specialty: NeurologyRequired Elements
- Cognitive assessment scores
- Behavioral symptom documentation
- Neuroimaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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