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ICD-10 Guide
ICD-10 CodesG31.09

G31.09

Billable

Other frontotemporal neurocognitive disorder

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

Code Description

ICD-10 G31.09 is a billable code used to indicate a diagnosis of other frontotemporal neurocognitive disorder.

Key Diagnostic Point:

Other frontotemporal neurocognitive disorder encompasses a range of conditions characterized by progressive degeneration of the frontal and temporal lobes of the brain, leading to significant cognitive decline. Unlike Alzheimer's disease, which primarily affects memory, frontotemporal disorders often manifest with changes in personality, behavior, and language. Patients may exhibit impulsivity, social withdrawal, and emotional blunting. The onset is typically earlier than Alzheimer's, often occurring in individuals in their 50s or 60s. Diagnosis is primarily clinical, supported by neuroimaging studies that reveal atrophy in the frontal and temporal regions. Cognitive assessments may show deficits in executive function, language skills, and social cognition. Given the overlap with other neurodegenerative diseases, accurate diagnosis is crucial for appropriate management and care planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation from other neurocognitive disorders
  • Variability in clinical presentation
  • Need for comprehensive neuropsychological assessment
  • Potential overlap with psychiatric conditions

Audit Risk Factors

  • Inadequate documentation of cognitive assessments
  • Failure to specify the type of frontotemporal disorder
  • Misdiagnosis due to symptom overlap with other conditions
  • Lack of supporting neuroimaging results

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, neuroimaging results, and cognitive assessment scores.

Common Clinical Scenarios

Patients presenting with personality changes, language difficulties, or executive dysfunction.

Billing Considerations

Ensure clear documentation of symptom onset and progression to support diagnosis.

Psychiatry

Documentation Requirements

Comprehensive psychiatric evaluation, including history of behavioral changes and mental status examination.

Common Clinical Scenarios

Patients with mood changes, social withdrawal, or impulsive behavior.

Billing Considerations

Differentiate from primary psychiatric disorders to avoid misdiagnosis.

Coding Guidelines

Inclusion Criteria

Use G31.09 When
  • Follow ICD
  • CM guidelines for neurocognitive disorders, ensuring accurate documentation of symptoms and progression
  • Include neuroimaging and cognitive assessment results to support the diagnosis

Exclusion Criteria

Do NOT use G31.09 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 frontotemporal neurocognitive disorder.

Documentation Requirements

Document the specific tests performed and the results.

Specialty Considerations

Neurologists and psychologists should collaborate on assessment.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of neurocognitive disorders, enabling better tracking of disease prevalence and management strategies. G31.09 provides a distinct code for conditions that were previously lumped together, improving clarity in clinical documentation and billing.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of neurocognitive disorders, enabling better tracking of disease prevalence and management strategies. G31.09 provides a distinct code for conditions that were previously lumped together, improving clarity in clinical documentation and billing.

Reimbursement & Billing Impact

billing.

Resources

Clinical References

  • •
    Frontotemporal Disorders: A Guide for Patients and Families

Coding & Billing References

  • •
    Frontotemporal Disorders: A Guide for Patients and Families

Frequently Asked Questions

What are the key symptoms of frontotemporal neurocognitive disorder?

Key symptoms include changes in personality, behavior, language difficulties, and executive dysfunction. Patients may exhibit impulsivity, social withdrawal, and emotional blunting.

How is frontotemporal neurocognitive disorder diagnosed?

Diagnosis is primarily clinical, supported by neuroimaging and cognitive assessments. It is important to differentiate it from other neurocognitive disorders, particularly Alzheimer's disease.