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ICD-10 Guide
ICD-10 CodesF01.52

F01.52

Billable

Vascular dementia, unspecified severity, with psychotic disturbance

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

Code Description

ICD-10 F01.52 is a billable code used to indicate a diagnosis of vascular dementia, unspecified severity, with psychotic disturbance.

Key Diagnostic Point:

Vascular dementia is a type of cognitive impairment that results from reduced blood flow to the brain, often due to strokes or other vascular conditions. This specific code, F01.52, indicates that the dementia is of unspecified severity and is accompanied by psychotic disturbances, which may include hallucinations, delusions, or severe mood swings. Patients may exhibit cognitive deficits such as memory loss, difficulty with problem-solving, and impaired judgment. The presence of psychotic symptoms complicates the clinical picture, as these can lead to increased caregiver burden and necessitate more intensive management strategies. Diagnosis typically involves a thorough clinical assessment, including cognitive testing and neuroimaging, to rule out other causes of dementia. Treatment may include medications to manage symptoms and supportive therapies to enhance quality of life. Caregiver support is crucial, as the psychological and emotional toll on caregivers can be significant, requiring education and resources to help them cope with the challenges of caring for individuals with this condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Presence of psychotic disturbances complicates diagnosis and treatment.
  • Unspecified severity requires careful clinical assessment.
  • Differentiation from other types of dementia is necessary.
  • Documentation must clearly indicate the presence of psychotic symptoms.

Audit Risk Factors

  • Inadequate documentation of psychotic symptoms.
  • Failure to specify severity of dementia.
  • Misdiagnosis or overlap with other dementia types.
  • Lack of comprehensive cognitive assessment records.

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed cognitive assessments, neuroimaging results, and documentation of psychotic symptoms.

Common Clinical Scenarios

Patients presenting with cognitive decline and behavioral changes post-stroke.

Billing Considerations

Neurologists must differentiate between vascular dementia and other dementias, ensuring accurate documentation of symptoms.

Psychiatry

Documentation Requirements

Comprehensive psychiatric evaluations, including mental status exams and treatment plans addressing psychotic symptoms.

Common Clinical Scenarios

Patients with vascular dementia exhibiting hallucinations or delusions.

Billing Considerations

Psychiatrists should document the impact of psychotic symptoms on daily functioning and caregiver stress.

Coding Guidelines

Inclusion Criteria

Use F01.52 When
  • According to ICD
  • 10 guidelines, F01
  • 52 should be used when vascular dementia is diagnosed with accompanying psychotic disturbances
  • Documentation must support the diagnosis, including cognitive assessments and evidence of psychotic symptoms

Exclusion Criteria

Do NOT use F01.52 When
  • Exclusion criteria include other types of dementia or primary psychiatric disorders

Related ICD-10 Codes

Related CPT Codes

96116CPT Code

Neuropsychological testing

Clinical Scenario

Used to assess cognitive function in patients with suspected dementia.

Documentation Requirements

Results of cognitive assessments and any relevant history.

Specialty Considerations

Neurologists and psychologists should ensure comprehensive documentation of test results.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of dementia types, including vascular dementia with psychotic disturbances, improving the accuracy of diagnoses and treatment plans.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of dementia types, including vascular dementia with psychotic disturbances, improving the accuracy of diagnoses and treatment plans.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of dementia types, including vascular dementia with psychotic disturbances, improving the accuracy of diagnoses and treatment plans.

Resources

Clinical References

  • •
    Alzheimer's Association

Coding & Billing References

  • •
    Alzheimer's Association

Frequently Asked Questions

What are the key symptoms of vascular dementia with psychotic disturbance?

Key symptoms include memory loss, confusion, and psychotic symptoms such as hallucinations or delusions. These symptoms can significantly impact daily functioning and require careful management.