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ICD-10 Coding for Neurocognitive Disorder(G30.9, F02.80)

Complete ICD-10-CM coding and documentation guide for Neurocognitive Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Cognitive ImpairmentDementia

Related ICD-10 Code Ranges

Complete code families applicable to Neurocognitive Disorder

F01-F09Primary Range

Mental disorders due to known physiological conditions

This range includes various neurocognitive disorders, including dementia and other cognitive impairments.

Other degenerative diseases of the nervous system

This range includes Alzheimer's disease and other degenerative conditions affecting cognition.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
G30.9Alzheimer's disease, unspecifiedUse when Alzheimer's disease is diagnosed but not further specified.
  • Amyloid PET scan positive
  • Clinical diagnosis of Alzheimer's
F02.80Dementia in other diseases classified elsewhere without behavioral disturbanceUse when dementia is secondary to another condition without behavioral disturbances.
  • Diagnosis of underlying condition like Parkinson's

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 neurocognitive disorder

Essential facts and insights about Neurocognitive Disorder

The ICD-10 code for unspecified neurocognitive disorder is F03.90. Specific codes depend on the underlying cause, such as G30.9 for Alzheimer's disease.

Primary ICD-10-CM Codes for neurocognitive disorder

Alzheimer's disease, unspecified
Billable Code

Decision Criteria

clinical Criteria

  • Positive amyloid PET scan

documentation Criteria

  • Detailed documentation of cognitive decline

Applicable To

  • Probable Alzheimer's disease

Excludes

  • Vascular dementia (F01.-)

Clinical Validation Requirements

  • Amyloid PET scan positive
  • Clinical diagnosis of Alzheimer's

Code-Specific Risks

  • Ensure Alzheimer's is confirmed with clinical evidence.

Coding Notes

  • Sequence G30.9 before F02.XX for Alzheimer's with behavioral disturbances.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Wandering in diseases classified elsewhere

Z91.83
Use when wandering behavior is documented.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Vascular dementia without behavioral disturbance

F01.50
Vascular dementia is confirmed by imaging showing cerebrovascular disease.

Dementia in other diseases classified elsewhere with behavioral disturbance

F02.81
Presence of behavioral disturbances like agitation.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Neurocognitive Disorder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G30.9.

Impact

Clinical: May lead to inadequate treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.

Mitigation Strategy

Thoroughly assess and document all symptoms, Use standardized assessment tools

Impact

Reimbursement: May lead to reduced reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases the accuracy of health data.

Mitigation Strategy

Always use the most specific code available based on clinical documentation.

Impact

High risk of audit if unspecified codes are used without justification.

Mitigation Strategy

Ensure comprehensive documentation of diagnostic workup.

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 Neurocognitive Disorder, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Neurocognitive Disorder

Use these documentation templates to ensure complete and accurate documentation for Neurocognitive Disorder. These templates include all required elements for proper coding and billing.

Major Neurocognitive Disorder due to Alzheimer's

Specialty: Neurology

Required Elements

  • Diagnosis confirmation
  • Severity assessment
  • Behavioral disturbances

Example Documentation

Major neurocognitive disorder due to probable Alzheimer's disease, severe, with agitation.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Dementia likely Alzheimer's type
Good Documentation Example
Major neurocognitive disorder due to probable Alzheimer's disease, severe, with agitation (MMSE=18/30, amyloid PET positive)
Explanation
The good example provides specific diagnosis, severity, and supporting evidence.

Need help with ICD-10 coding for Neurocognitive Disorder? Ask your questions below.

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