ICD-10 Coding for Memory Problems(F03.91, G31.84)
Complete ICD-10-CM coding and documentation guide for Memory Problems. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Memory Problems
F01-F03Primary Range
Dementia
Primary range for dementia-related memory problems, including Alzheimer's and vascular dementia.
Symptoms and signs involving cognitive functions and awareness
Used for cognitive symptoms not classified under specific dementia types.
Mild cognitive impairment, so stated
Used for mild cognitive impairment without a specific dementia diagnosis.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F03.91 | Unspecified dementia with behavioral disturbance | Use when dementia is present but the specific type is not documented. |
|
| G31.84 | Mild cognitive impairment, so stated | Use when cognitive impairment is mild and does not meet criteria for dementia. |
|
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 memory problems
Essential facts and insights about Memory Problems
Primary ICD-10-CM Codes for memory problem
Decision Criteria
clinical Criteria
- Presence of behavioral disturbances with unspecified dementia.
Applicable To
- Dementia NOS with behavioral disturbance
Excludes
- Delirium superimposed on dementia (F05)
Clinical Validation Requirements
- Progressive cognitive decline
- Functional impairment
- Behavioral disturbances
Code-Specific Risks
- Risk of undercoding if specific dementia type is known.
Coding Notes
- Ensure behavioral disturbances are documented.
G31.84 - Mild cognitive impairment, so stated
Use when cognitive impairment is mild and does not meet criteria for dementia.
Applicable To
- Mild cognitive disorder
Excludes
- Dementia (F01-F03)
Clinical Validation Requirements
- Subjective cognitive complaints
- Normal activities of daily living
- MoCA score 18-25
Coding Notes
Ensure cognitive testing results are documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Other amnesia
R41.3Differential 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 Memory Problems to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F03.91.
Impact
Clinical: Inaccurate diagnosis and treatment planning., Regulatory: Potential audit issues., Financial: Denied claims due to lack of documentation.
Mitigation Strategy
Use comprehensive cognitive assessments., Document specific test results.
Impact
Reimbursement: Potential underpayment due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on dementia prevalence.
Mitigation Strategy
Use specific dementia codes like G30.9 for Alzheimer's.
Impact
Risk of incorrect coding due to lack of specificity.
Mitigation Strategy
Use specific dementia codes when possible.
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 Memory Problems, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Memory Problems
Use these documentation templates to ensure complete and accurate documentation for Memory Problems. These templates include all required elements for proper coding and billing.
Memory assessment in neurology
Specialty: NeurologyRequired Elements
- Cognitive test scores
- Functional assessment
- Behavioral observations
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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