2025 CPT code 1182F
(Active) Effective Date: N/A Revision Date: N/A Performance Measurement - Patient History Category II Codes Feed
Documents the presence of one or more neuropsychiatric symptoms in a patient with dementia (DEM).
Modifiers are not applicable to Category II CPT codes.
Documentation of neuropsychiatric symptoms is medically necessary for comprehensive dementia care, enabling early identification of potential complications and appropriate interventions. It contributes to accurate tracking of performance indicators aimed at improving care and patient outcomes.The medical necessity aligns with established clinical guidelines for dementia management.
The clinical responsibility for using code 1182F lies with healthcare professionals involved in the diagnosis and management of dementia. This includes documenting the presence and type of neuropsychiatric symptoms observed during patient encounters. Accurate documentation is crucial for tracking performance measures and improving the quality of dementia care.
In simple words: This code is used to record if a person with dementia has one or more mental or behavioral symptoms, such as changes in mood, unusual thoughts, or sleep problems. It helps track how well dementia care is working but doesn't affect how much is paid for the visit.
This Category II CPT code, 1182F, is used to track and document the presence of one or more neuropsychiatric symptoms in a patient diagnosed with dementia.Neuropsychiatric symptoms can include, but are not limited to,delusions, hallucinations, agitation, depression, anxiety, euphoria, apathy, disinhibition, irritability, motor disturbances, night behaviors, and changes in appetite. The code facilitates data collection for performance measurement related to dementia care and is not used for reimbursement.
Example 1: A 78-year-old patient with Alzheimer's disease presents with increased agitation and sleep disturbances. Code 1182F is used to document these neuropsychiatric symptoms., An 85-year-old patient with vascular dementia exhibits apathy and depression. Code 1182F is used to record these symptoms and track their course., A 65-year-old patient diagnosed with Lewy body dementia displays hallucinations and delusions. Code 1182F is used to document the neuropsychiatric symptoms, enabling the tracking of these conditions for quality improvement measures.
Detailed clinical notes describing the specific neuropsychiatric symptoms observed, including their onset, duration, severity, and impact on the patient's daily life.Diagnostic testing and other relevant medical records which support the dementia diagnosis should also be documented.
** Code 1182F is a supplemental tracking code used for performance measurement purposes and does not replace the use of Category I CPT codes for billing and reimbursement.The use of this code is optional and should be in accordance with the guidelines provided by the American Medical Association (AMA).
- RVU: None. Category II codes do not have relative value units.
- Global Days: Not applicable
- Payment Status: Not for reimbursement
- Modifier TC rule: Not applicable. Technical component modifiers do not apply to Category II codes.
- Fee Schedule: Not applicable.Category II codes are not associated with fee schedules.
- Specialties:Geriatric medicine, neurology, psychiatry, and family medicine.
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Skilled Nursing Facility, other settings where dementia patients receive care.