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v1.0.0
ICD-10 Guide
ICD-10 CodesF02.811

F02.811

Billable

Dementia in other diseases classified elsewhere, unspecified severity, with agitation

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

Code Description

ICD-10 F02.811 is a billable code used to indicate a diagnosis of dementia in other diseases classified elsewhere, unspecified severity, with agitation.

Key Diagnostic Point:

F02.811 refers to dementia that occurs as a result of other diseases not specifically classified under dementia categories, such as Parkinson's disease, Huntington's disease, or multiple sclerosis. This code is used when the severity of dementia is unspecified but is accompanied by agitation, which can manifest as restlessness, irritability, or aggressive behavior. Agitation in dementia patients can complicate care and management, often requiring tailored interventions. Cognitive assessments, such as the Mini-Mental State Examination (MMSE) or the Montreal Cognitive Assessment (MoCA), are crucial for evaluating the extent of cognitive impairment. Behavioral symptoms associated with this code can significantly impact the quality of life for both patients and caregivers, necessitating comprehensive support strategies. Caregiver education and support are vital, as caregivers often face challenges in managing agitation and other behavioral symptoms, which can lead to caregiver burnout if not addressed adequately.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying diseases that can cause dementia
  • Need for precise documentation of agitation symptoms
  • Differentiation from other types of dementia codes
  • Potential for overlapping symptoms with other psychiatric conditions

Audit Risk Factors

  • Inadequate documentation of agitation symptoms
  • Failure to specify the underlying disease causing dementia
  • Lack of cognitive assessment results in the medical record
  • Inconsistent use of the code across different encounters

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological assessments, cognitive testing results, and behavioral observations.

Common Clinical Scenarios

Patients presenting with cognitive decline and agitation due to neurodegenerative diseases.

Billing Considerations

Ensure comprehensive documentation of both cognitive and behavioral symptoms to support the use of F02.811.

Psychiatry

Documentation Requirements

Psychiatric evaluations, treatment plans addressing agitation, and caregiver support strategies.

Common Clinical Scenarios

Management of agitation in dementia patients with underlying psychiatric conditions.

Billing Considerations

Document the impact of agitation on the patient's daily functioning and caregiver stress.

Coding Guidelines

Inclusion Criteria

Use F02.811 When
  • According to ICD
  • 10 guidelines, F02
  • 811 should be used when dementia is a consequence of another disease and is accompanied by agitation
  • Documentation must clearly indicate the presence of agitation and the underlying condition causing dementia

Exclusion Criteria

Do NOT use F02.811 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 with dementia and agitation.

Documentation Requirements

Results of cognitive assessments and behavioral observations.

Specialty Considerations

Neurologists and psychiatrists should ensure thorough 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 the ability to capture agitation as a significant symptom, which was less detailed in ICD-9.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of dementia types, including the ability to capture agitation as a significant symptom, which was less detailed in ICD-9.

Reimbursement & Billing Impact

impact on daily functioning and caregiver involvement.

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 significance of documenting agitation in dementia patients?

Documenting agitation is crucial as it impacts treatment decisions, caregiver support needs, and overall patient management strategies.