ICD-10 Coding for Agitated Dementia(F02.B11, G30.1)
Complete ICD-10-CM coding and documentation guide for Agitated Dementia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Agitated Dementia
F02-F03Primary Range
Dementia in other diseases classified elsewhere
This range includes codes for dementia with behavioral disturbances, such as agitation, linked to underlying conditions like Alzheimer's.
Other degenerative diseases of the nervous system
Codes for underlying conditions like Alzheimer's disease, which must be sequenced before dementia codes.
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.B11 | Dementia in other diseases classified elsewhere with agitation | Use when agitation is a documented symptom of dementia linked to another disease. |
|
| G30.1 | Alzheimer's disease with late onset | Use as the primary code when Alzheimer's is the underlying cause of 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 agitated dementia
Essential facts and insights about Agitated Dementia
Primary ICD-10-CM Codes for agitated dementia
Decision Criteria
clinical Criteria
- Agitation directly linked to dementia progression
documentation Criteria
- Detailed behavioral descriptions are provided
Applicable To
- Agitation due to Alzheimer's
- Agitation due to Parkinson's
Excludes
- Agitation not linked to dementia
Clinical Validation Requirements
- Documented episodes of agitation
- Link to underlying dementia condition
Code-Specific Risks
- Incorrect sequencing with underlying condition
- Lack of specific behavioral documentation
Coding Notes
- Ensure documentation specifies the type and frequency of agitation behaviors.
G30.1 - Alzheimer's disease with late onset
Use as the primary code when Alzheimer's is the underlying cause of dementia.
Applicable To
- Late-onset Alzheimer's
Excludes
- Early-onset Alzheimer's
Clinical Validation Requirements
- Diagnosis of Alzheimer's confirmed by clinical assessment
Coding Notes
Always sequence before dementia codes.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Wandering in diseases classified elsewhere
Z91.83Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Agitated Dementia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F02.B11.
Impact
Clinical: Inaccurate patient records, Regulatory: Potential audit issues, Financial: Denied claims
Mitigation Strategy
Use detailed behavioral descriptions, Link behaviors to dementia
Impact
Reimbursement: Incorrect sequencing can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Always sequence the underlying condition code before the dementia code.
Impact
Insufficient documentation of agitation behaviors.
Mitigation Strategy
Ensure detailed documentation of behaviors and link to dementia.
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 Agitated Dementia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Agitated Dementia
Use these documentation templates to ensure complete and accurate documentation for Agitated Dementia. These templates include all required elements for proper coding and billing.
Dementia with Agitation in Alzheimer's
Specialty: NeurologyRequired Elements
- Patient history
- Behavioral observations
- Link to dementia
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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