2025 ICD-10-CM code F01.B
Vascular dementia, moderate.This condition is characterized by a decline in memory and cognitive functions due to impaired blood supply to the brain.
Medical necessity for services related to F01.B depends on the individual's specific needs and may include cognitive assessment, medication management, occupational therapy, speech therapy, and caregiver support.
Clinicians diagnosing F01.B should document the underlying cerebrovascular disease, assess the severity of cognitive impairment, and exclude other potential causes of dementia. They are also responsible for developing a comprehensive management plan, which may involve medication, cognitive therapies, and support for daily living.
In simple words: Moderate stage of vascular dementia, a condition where blood vessel problems in the brain cause thinking and memory difficulties.
Vascular dementia, moderate. This diagnosis signifies a moderate level of cognitive impairment resulting from cerebrovascular disease. This can include conditions like multiple cerebral infarctions or chronic brain ischemia, leading to a decline in memory and other cognitive functions.
Example 1: A 70-year-old patient with a history of multiple strokes presents with progressive memory loss and difficulty with executive functions. Neuropsychological testing confirms moderate cognitive impairment. The patient's symptoms are consistent with vascular dementia., A 65-year-old individual experiences gradual cognitive decline after a carotid artery stenosis. Imaging reveals chronic brain ischemia. The patient exhibits moderate impairment in memory, language, and visuospatial skills, qualifying for a diagnosis of vascular dementia., A patient with long-standing hypertension and diabetes develops cognitive impairment. Neuroimaging suggests diffuse white matter changes indicative of chronic vascular damage. Cognitive testing confirms moderate impairment, supporting a diagnosis of vascular dementia secondary to the underlying vascular conditions.
Documentation for F01.B should include:- Detailed history of cerebrovascular events or risk factors.- Neurological examination findings.- Neuropsychological testing results demonstrating moderate cognitive decline.- Imaging studies (e.g., MRI, CT) confirming cerebrovascular disease.- Assessment of behavioral and psychological symptoms.
** Distinguishing vascular dementia from other dementias, such as Alzheimer's disease, is crucial for appropriate management.Consider any behavioral disturbances, mood disorders, or psychotic features accompanying the dementia for proper coding.
- Specialties:Neurology, Geriatrics, Internal Medicine, Family Medicine, Psychiatry.
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital, Skilled Nursing Facility, Nursing Facility,Office, Home,Hospice