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ICD-10 Guide
ICD-10 CodesF06.71

F06.71

Billable

Mild neurocognitive disorder due to known physiological condition with behavioral disturbance

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 F06.71 is a billable code used to indicate a diagnosis of mild neurocognitive disorder due to known physiological condition with behavioral disturbance.

Key Diagnostic Point:

Mild neurocognitive disorder due to known physiological condition with behavioral disturbance is characterized by a decline in cognitive function that is not severe enough to interfere significantly with daily living but is noticeable to the individual or others. This condition arises from identifiable physiological causes, such as traumatic brain injury, neurodegenerative diseases, or metabolic disorders. Patients may exhibit behavioral disturbances, including mood swings, irritability, or changes in personality, which can complicate their clinical presentation. The cognitive impairments may affect memory, attention, and executive function, leading to difficulties in planning, organizing, and problem-solving. It is essential to differentiate this disorder from other types of dementia and delirium, as the underlying physiological condition plays a crucial role in the diagnosis and management. Treatment often focuses on addressing the underlying condition and may include cognitive rehabilitation and behavioral interventions.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of the relationship between physiological conditions and cognitive impairment.
  • Differentiation from other neurocognitive disorders and delirium.
  • Documentation of behavioral disturbances is essential for accurate coding.
  • Need for comprehensive patient history to establish causality.

Audit Risk Factors

  • Inadequate documentation of the physiological condition causing the neurocognitive disorder.
  • Failure to document behavioral disturbances clearly.
  • Misclassification of the severity of cognitive impairment.
  • Lack of comprehensive patient history.

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological assessments, cognitive testing results, and history of physiological conditions.

Common Clinical Scenarios

Patients with traumatic brain injury presenting with cognitive deficits and mood changes.

Billing Considerations

Ensure that the physiological condition is well-documented and linked to cognitive symptoms.

Psychiatry

Documentation Requirements

Psychiatric evaluations, behavioral assessments, and treatment plans addressing cognitive and behavioral symptoms.

Common Clinical Scenarios

Patients with neurodegenerative diseases exhibiting personality changes and cognitive decline.

Billing Considerations

Focus on the interplay between psychiatric symptoms and underlying physiological conditions.

Coding Guidelines

Inclusion Criteria

Use F06.71 When
  • According to ICD
  • 10 coding guidelines, F06
  • 71 should be used when there is clear evidence of a mild neurocognitive disorder linked to a known physiological condition, accompanied by behavioral disturbances
  • Documentation must support the diagnosis, including cognitive assessments and behavioral observations

Exclusion Criteria

Do NOT use F06.71 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

96116CPT Code

Neuropsychological testing

Clinical Scenario

Used to assess cognitive function in patients suspected of having neurocognitive disorders.

Documentation Requirements

Detailed reports of cognitive assessments and behavioral observations.

Specialty Considerations

Neurologists and psychologists should ensure comprehensive evaluations are documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more precise coding of neurocognitive disorders, facilitating better tracking of conditions and outcomes. F06.71 provides specificity that aids in understanding the relationship between physiological conditions and cognitive impairment.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more precise coding of neurocognitive disorders, facilitating better tracking of conditions and outcomes. F06.71 provides specificity that aids in understanding the relationship between physiological conditions and cognitive impairment.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more precise coding of neurocognitive disorders, facilitating better tracking of conditions and outcomes. F06.71 provides specificity that aids in understanding the relationship between physiological conditions and cognitive impairment.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between mild neurocognitive disorder and major neurocognitive disorder?

Mild neurocognitive disorder involves a noticeable decline in cognitive function that does not interfere significantly with daily activities, while major neurocognitive disorder represents a more severe decline that impairs independence and daily functioning.