ICD-10-CM Billable Code

F01.B11

Vascular dementia, moderate, with agitation

Clinical Classification Guidelines

Inclusion Terms

  • Major neurocognitive disorder due to vascular disease, moderate, with aberrant motor behavior such as restlessness, rocking, pacing, or exit-seeking
  • Major neurocognitive disorder due to vascular disease, moderate, with verbal or physical behaviors such as profanity, shouting, threatening, anger, aggression, combativeness, or violence
  • Vascular dementia, moderate, with aberrant motor behavior such as restlessness, rocking, pacing, or exit-seeking
  • Vascular dementia, moderate, with verbal or physical behaviors such as profanity, shouting, threatening, anger, aggression, combativeness, or violence

Medical Intelligence & Overview

Vascular dementia is a type of cognitive decline caused by reduced blood flow to the brain, often due to strokes or other blood vessel problems. When it is classified as moderate and accompanied by agitation, it can significantly impact daily life. This condition involves a decline in thinking skills, memory, and behavior, often leading to challenges for both patients and caregivers.

Causes & Symptoms

Clinical Causes: Blood vessel blockages or narrowing in the brain, often due to strokes Small vessel disease causing damage over time High blood pressure leading to vessel damage Atherosclerosis, which is the buildup of fatty deposits in arteries Other conditions that impair blood flow, such as heart disease or diabetes

Key Symptoms: Memory loss and difficulty recalling recent events Confusion and disorientation Problems with planning, organizing, and problem-solving Changes in mood or behavior Difficulty speaking or understanding speech Motor disturbances such as pacing, restlessness, or rocking Exit-seeking behavior, trying to leave familiar environments Verbal or physical aggression, including shouting, profanity, or threatening others Combativeness or physical violence Increased agitation and restlessness, especially during certain times of the day

Diagnostic & Treatment

Diagnosis Path: Diagnosing vascular dementia involves a combination of medical history, physical and neurological examinations, cognitive testing, and brain imaging studies like MRI or CT scans. These tests help identify blood vessel damage and rule out other causes of cognitive decline. The healthcare provider assesses the severity of cognitive impairment and associated behaviors to determine the diagnosis and appropriate level of care.

Treatment Protocols: While there is no cure for vascular dementia, treatment focuses on managing underlying health conditions and alleviating symptoms. Strategies may include managing blood pressure, controlling diabetes, and addressing cardiovascular risks. Medications may be prescribed to help with cognitive symptoms or behavioral issues. Additionally, supportive therapies like occupational therapy, behavioral management techniques, and caregiver support are essential in improving quality of life and safety.

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 F01.B11 a billable ICD-10 code?
Yes, F01.B11 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report F01.B11?
Clinical documentation must specify the nature of Vascular dementia, moderate, with agitation and any associated comorbidities for accurate reporting.

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