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ICD-10 Guide
ICD-10 CodesF06.70

F06.70

Billable

Mild neurocognitive disorder due to known physiological condition without behavioral disturbance

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

Code Description

ICD-10 F06.70 is a billable code used to indicate a diagnosis of mild neurocognitive disorder due to known physiological condition without behavioral disturbance.

Key Diagnostic Point:

Mild neurocognitive disorder due to known physiological condition is characterized by a decline in cognitive function that is not severe enough to interfere significantly with daily living activities. This condition arises from identifiable physiological causes, such as traumatic brain injury, neurodegenerative diseases, or metabolic disorders. Patients may experience mild memory loss, difficulty concentrating, or challenges in problem-solving. Unlike more severe neurocognitive disorders, individuals with F06.70 do not exhibit significant behavioral disturbances, such as aggression or severe mood swings. The diagnosis requires a thorough clinical assessment, including neuropsychological testing, to differentiate it from other cognitive disorders and to confirm the underlying physiological condition. Proper documentation of the physiological cause is essential for accurate coding and treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires thorough understanding of underlying physiological conditions.
  • Differentiation from other neurocognitive disorders is necessary.
  • Documentation must clearly state the absence of behavioral disturbances.
  • Clinical assessment and neuropsychological testing results are often needed.

Audit Risk Factors

  • Inadequate documentation of the physiological condition.
  • Failure to specify the absence of behavioral disturbances.
  • Misclassification of severity of cognitive impairment.
  • Lack of supporting neuropsychological assessment.

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, neuropsychological test results, and history of the physiological condition.

Common Clinical Scenarios

Patients with mild cognitive impairment following a stroke or traumatic brain injury.

Billing Considerations

Ensure that the documentation explicitly states the absence of behavioral disturbances.

Psychiatry

Documentation Requirements

Comprehensive mental status examination and assessment of cognitive function.

Common Clinical Scenarios

Patients with mild neurocognitive disorder secondary to chronic illness or medication effects.

Billing Considerations

Documentation should clarify the physiological cause and cognitive symptoms without behavioral issues.

Coding Guidelines

Inclusion Criteria

Use F06.70 When
  • According to ICD
  • 10 coding guidelines, F06
  • 70 should be used when there is clear documentation of mild neurocognitive disorder due to a known physiological condition, and it must be specified that there are no behavioral disturbances
  • The condition must be confirmed through clinical evaluation and testing

Exclusion Criteria

Do NOT use F06.70 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

96136CPT Code

Neuropsychological testing

Clinical Scenario

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

Documentation Requirements

Results of cognitive assessments and rationale for testing.

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 mild neurocognitive disorders, improving the accuracy of diagnoses and treatment plans. F06.70 provides a clear distinction from more severe cognitive disorders, facilitating better patient management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of mild neurocognitive disorders, improving the accuracy of diagnoses and treatment plans. F06.70 provides a clear distinction from more severe cognitive disorders, facilitating better patient management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of mild neurocognitive disorders, improving the accuracy of diagnoses and treatment plans. F06.70 provides a clear distinction from more severe cognitive disorders, facilitating better patient management.

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 documentation is required to support the use of F06.70?

Documentation must include a clear diagnosis of mild neurocognitive disorder, identification of the underlying physiological condition, and evidence that there are no behavioral disturbances. Neuropsychological testing results should also be included.