2025 ICD-10-CM code F02.A3
Mild dementia due to a known physiological condition, accompanied by a mood disturbance.
Medical necessity is established by the presence of a documented physiological condition causing dementia and a co-occurring mood disturbance. Further, the documentation must support the diagnosis of mild neurocognitive disorder.
Clinicians should document the specific mood disturbance observed (e.g., depression, apathy, anhedonia) in addition to the underlying physiological condition causing the dementia. They must also assess the severity of the cognitive impairment and ensure it aligns with the "mild" classification.
In simple words: This diagnosis means a person has mild memory and thinking problems caused by a medical condition, and they also have changes in their mood, like sadness or lack of interest.
Dementia in other diseases classified elsewhere, mild, with mood disturbance such as depression, apathy, or anhedonia.This code signifies mild major neurocognitive disorder caused by a documented physical condition and accompanied by mood disturbance.It's essential to code the underlying physiological condition first.
Example 1: A patient with Parkinson's disease experiences mild memory loss and decreased cognitive function along with persistent depression. The Parkinson's disease is coded first (G20.-), followed by F02.A3., A patient with a history of traumatic brain injury (S06.-) now exhibits mild dementia and significant apathy. The traumatic brain injury is coded first, followed by F02.A3., A patient diagnosed with Huntington's disease (G10) develops mild cognitive impairment and experiences anhedonia (loss of pleasure). Huntington's disease is coded first, followed by F02.A3.
Documentation must clearly link the dementia to the underlying physiological condition. Detailed descriptions of the patient's cognitive impairments and mood disturbances are crucial, including assessment results and observations. The medical record should support the "mild" severity level.
** For accurate coding, consider using specialized references like the iFrameAI product when dealing with complex cases or seeking deeper insights beyond basic code descriptions.
- Specialties:Neurology, Psychiatry, Geriatrics
- Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Office, Nursing Facility, Skilled Nursing Facility