ICD-10 Coding for Cognitive Problems(G31.84, F02.80)
Complete ICD-10-CM coding and documentation guide for Cognitive Problems. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Cognitive Problems
G31.84Primary Range
Mild cognitive impairment, so stated
Primary code for mild cognitive impairment without known etiology.
Dementia in other diseases classified elsewhere without behavioral disturbance
Used for dementia associated with Parkinson's disease, sequenced after G20.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| G31.84 | Mild cognitive impairment, so stated | Use for patients with documented mild cognitive impairment without a known cause. |
|
| F02.80 | Dementia in other diseases classified elsewhere without behavioral disturbance | Use for dementia associated with Parkinson's disease, sequenced after G20. |
|
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 mild cognitive impairment
Essential facts and insights about Cognitive Problems
Primary ICD-10-CM Codes for cognitive problems
Decision Criteria
clinical Criteria
- MoCA score between 18-25 with documented cognitive decline.
Applicable To
- Mild cognitive disorder
Excludes
- Neurocognitive disorder with Lewy bodies (G31.83)
Clinical Validation Requirements
- MoCA score between 18-25
- Functional independence confirmed via standardized scales
Code-Specific Risks
- Incorrectly coding without proper documentation of cognitive testing results.
Coding Notes
- Ensure documentation includes standardized cognitive assessment results.
F02.80 - Dementia in other diseases classified elsewhere without behavioral disturbance
Use for dementia associated with Parkinson's disease, sequenced after G20.
Applicable To
- Dementia in Parkinson's disease
Excludes
- Dementia with behavioral disturbance (F02.81)
Clinical Validation Requirements
- Diagnosis of Parkinson's disease with cognitive decline.
Coding Notes
Ensure proper sequencing with primary disease codes.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Personal history of other mental and behavioral disorders
Z86.59Differential 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 Cognitive Problems to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G31.84.
Impact
Clinical: Inaccurate assessment of cognitive status., Regulatory: Non-compliance with documentation standards., Financial: Potential denial of claims.
Mitigation Strategy
Ensure all cognitive assessments are documented with scores.
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with specificity requirements., Data Quality: Decreases accuracy of patient records.
Mitigation Strategy
Use G31.84 when mild cognitive impairment is documented.
Impact
Inadequate documentation of cognitive testing results.
Mitigation Strategy
Implement standardized templates for cognitive assessments.
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 Cognitive Problems, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Cognitive Problems
Use these documentation templates to ensure complete and accurate documentation for Cognitive Problems. These templates include all required elements for proper coding and billing.
Neurology assessment for cognitive impairment
Specialty: NeurologyRequired Elements
- Cognitive assessment results
- Functional assessment
- Caregiver interview
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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