ICD-10-CM Billable Code

F02.B11

Dementia in other diseases classified elsewhere, moderate, with agitation

Clinical Classification Guidelines

Inclusion Terms

  • Dementia in other diseases classified elsewhere, moderate, with aberrant motor behavior such as restlessness, rocking, pacing, or exit-seeking
  • Dementia in other diseases classified elsewhere, moderate, with verbal or physical behaviors such as profanity, shouting, threatening, anger, aggression, combativeness, or violence
  • Major neurocognitive disorder in other diseases classified elsewhere, moderate, with aberrant motor behavior such as restlessness, rocking, pacing, or exit-seeking
  • Major neurocognitive disorder in other diseases classified elsewhere, moderate, with verbal or physical behaviors such as profanity, shouting, threatening, anger, aggression, combativeness, or violence

Medical Intelligence & Overview

ICD-10 code F02.B11 refers to a specific type of dementia that occurs due to other underlying diseases, characterized by moderate cognitive decline accompanied by agitation and behavioral disturbances. This condition affects individuals with existing health issues, leading to progressive memory loss, confusion, and behavioral challenges that impact daily life. Recognizing the features of this condition is crucial for supporting affected individuals and managing their symptoms effectively.

Causes & Symptoms

Clinical Causes: Underlying diseases such as Parkinson's disease, Huntington's disease, or other neurological disorders Chronic conditions that impair brain function, including infections or metabolic imbalances Progression of primary neurocognitive disorders leading to secondary dementia Environmental stressors or changes that may exacerbate agitation and behavioral symptoms Medication side effects or interactions that may influence cognition and mood

Key Symptoms: Moderate memory impairment, particularly short-term memory loss Difficulty planning, solving problems, or understanding complex tasks Disorientation to time and place Behavioral disturbances such as restlessness, pacing, rocking, or attempting to exit a location Verbal or physical outbursts, including profanity, shouting, threats, or aggression Mood swings, including irritability, anger, or depression Aggressive behaviors that may pose safety concerns Difficulty with personal and social activities due to cognitive and behavioral issues

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a comprehensive clinical assessment, including a detailed medical history, behavioral observations, neuropsychological testing, and brain imaging studies. Healthcare providers assess the severity and nature of cognitive deficits and behaviors to determine if they align with this specific classification. Collaboration with specialists such as neurologists or psychiatrists may be necessary to establish an accurate diagnosis and rule out other potential causes.

Treatment Protocols: Management strategies focus on alleviating behavioral symptoms, maintaining the individual's independence, and ensuring safety. Approaches may include behavioral therapy, environmental modifications, and pharmacological interventions tailored to the person's needs. Medications such as antipsychotics or mood stabilizers may be prescribed cautiously to address agitation and aggression. Support for caregivers is also essential to manage the challenges associated with moderate dementia with agitation.

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is F02.B11 a billable ICD-10 code?
Yes, F02.B11 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report F02.B11?
Clinical documentation must specify the nature of Dementia in other diseases classified elsewhere, moderate, with agitation and any associated comorbidities for accurate reporting.

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