Neurocognitive disorder with Lewy bodies
ICD-10 G31.83 is a billable code used to indicate a diagnosis of neurocognitive disorder with lewy bodies.
Neurocognitive disorder with Lewy bodies is characterized by a progressive decline in cognitive function due to the presence of Lewy bodies in the brain, which are abnormal aggregates of protein that disrupt normal neuronal function. Patients typically present with fluctuating cognition, recurrent visual hallucinations, and parkinsonism, which includes symptoms such as rigidity, bradykinesia, and postural instability. This disorder often overlaps with Alzheimer's disease and other neurodegenerative conditions, making differential diagnosis critical. Cognitive decline assessment may involve neuropsychological testing, imaging studies, and clinical evaluations to determine the extent of cognitive impairment and to rule out other causes. The presence of Lewy bodies can be confirmed post-mortem, but clinical diagnosis relies on the identification of characteristic symptoms and patterns of cognitive decline. The management of this disorder often includes cholinesterase inhibitors and atypical antipsychotics, although treatment must be approached cautiously due to potential adverse effects.
Detailed clinical notes on cognitive assessments, neurological examinations, and symptomatology.
Diagnosis and management of patients presenting with cognitive decline, visual hallucinations, and parkinsonism.
Neurologists must ensure comprehensive documentation to support the diagnosis and differentiate from other dementias.
Thorough psychiatric evaluations, including mental status examinations and history of hallucinations.
Management of behavioral symptoms associated with Lewy body dementia, including hallucinations and mood disturbances.
Psychiatrists should document the impact of cognitive decline on mental health and any treatment adjustments.
Used to assess cognitive function in patients suspected of having Lewy body dementia.
Detailed report of cognitive assessments and findings.
Documentation should clearly link cognitive deficits to the diagnosis of Lewy body dementia.
Key symptoms include fluctuating cognition, visual hallucinations, and parkinsonism. Patients may experience variations in attention and alertness, along with motor symptoms typical of Parkinson's disease.
