ICD-10-CM Billable Code

F02.811

Dementia in other diseases classified elsewhere, unspecified severity, with agitation

Clinical Classification Guidelines

Inclusion Terms

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

Medical Intelligence & Overview

Dementia with agitation, classified under ICD-10 code F02.811, refers to a decline in mental functions caused by underlying diseases other than Alzheimer’s, which is accompanied by behaviors such as restlessness, pacing, shouting, or aggression. This condition often affects older adults and can significantly impact daily life for both individuals and their caregivers. While the severity of symptoms can vary, agitation and disruptive behaviors are common features that may require special attention and management.

Causes & Symptoms

Clinical Causes: Underlying diseases such as vascular dementia, Parkinson’s disease, Lewy body dementia, or other neurological conditions Progression of existing neurodegenerative illnesses that lead to cognitive decline and behavioral changes Medical complications like infections, metabolic imbalances, or side effects of medications that may exacerbate agitation Environmental factors or stressors that can trigger behavioral disturbances Sensory impairments (vision or hearing loss) leading to confusion and agitation

Key Symptoms: Restlessness and pacing or rocking Exit-seeking behavior, often trying to leave a safe environment Verbal outbursts such as shouting, profanity, or threatening language Physical aggression, including hitting or fighting Combativeness or resistance to care Repetitive movements or behaviors Mood changes like irritability, anger, or frustration Difficulty understanding or responding to surroundings

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves clinical evaluation by a healthcare professional, focusing on the patient’s medical history, behavioral assessments, and cognitive testing. Healthcare providers may also use neuroimaging or laboratory tests to identify underlying diseases, while ruling out other causes such as infections or metabolic imbalances. because symptoms may overlap with other conditions, comprehensive assessments are important for an accurate diagnosis.

Treatment Protocols: Identifying and addressing underlying causes such as infections or medication side effects Creating a safe and calming environment to reduce triggers for agitation Behavioral strategies and structured routines to minimize confusion and frustration Non-pharmacological interventions: engaging activities, music therapy, and environmental modifications Medication may be considered in severe cases, including sedatives or antipsychotics, but only under careful medical supervision due to potential side effects Support for caregivers, including education, respite care, and counseling

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 F02.811 a billable ICD-10 code?
Yes, F02.811 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report F02.811?
Clinical documentation must specify the nature of Dementia in other diseases classified elsewhere, unspecified severity, with agitation and any associated comorbidities for accurate reporting.

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