ICD-10-CM Billable Code

F01.52

Vascular dementia, unspecified severity, with psychotic disturbance

Clinical Classification Guidelines

Inclusion Terms

  • Major neurocognitive disorder due to vascular disease, unspecified severity, with psychotic disturbance such as hallucinations, paranoia, suspiciousness, or delusional state
  • Vascular dementia, unspecified severity, with psychotic disturbance such as hallucinations, paranoia, suspiciousness, or delusional state

Medical Intelligence & Overview

Vascular dementia is a type of cognitive decline caused by issues with blood flow to the brain. When combined with psychotic disturbances—such as hallucinations or delusions—it can significantly affect a person's mental health and daily functioning. This guide provides an overview tailored for patients to understand the condition labeled as F01.52 in the ICD-10 classification.

Causes & Symptoms

Clinical Causes: Blockages in brain blood vessels due to strokes or mini-strokes Chronic hypertension leading to blood vessel damage Atherosclerosis narrowing the arteries supplying the brain Blood vessel diseases such as vasculitis Clot formation reducing blood flow to parts of the brain Small vessel disease affecting deep structures in the brain

Key Symptoms: Memory loss and difficulty recalling recent events Impaired reasoning, planning, or problem-solving skills Disorientation to time or place Changes in mood or behavior Difficulty with language or communication Psychotic symptoms, including hallucinations or delusional thoughts Paranoia or suspiciousness about others Suspicious or delusional beliefs not based in reality Reduced ability to perform daily activities

Diagnostic & Treatment

Diagnosis Path: Diagnosis involves a thorough clinical assessment including medical history, neurological examination, and cognitive testing. Imaging tests like MRI or CT scans help identify blood vessel damage or abnormalities in the brain that are characteristic of vascular dementia. In addition, ruling out other causes of cognitive decline is essential. Healthcare providers also evaluate for psychotic symptoms to understand the full scope of the condition.

Treatment Protocols: Controlling blood pressure, cholesterol, and blood sugar levels to prevent further blood vessel damage Medications to improve blood flow or slow cognitive decline Treating psychotic symptoms with appropriate psychiatric medications Providing support for daily activities and safety at home Engaging in cognitive therapies to support mental function Adopting a healthy lifestyle with diet and exercise

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 F01.52 a billable ICD-10 code?
Yes, F01.52 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report F01.52?
Clinical documentation must specify the nature of Vascular dementia, unspecified severity, with psychotic disturbance and any associated comorbidities for accurate reporting.

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