2025 ICD-10-CM code F02.B0
Dementia in other diseases classified elsewhere, moderate, without behavioral disturbance.
The medical necessity for this code is established by the presence of a documented underlying physiological condition directly contributing to the dementia. The moderate level of impairment should be demonstrable through objective cognitive assessment and functional evaluation, showing an impact on the patient's daily living.
Clinicians use this code to specify the severity and characteristic of a patient's dementia caused by an underlying medical condition. Diagnosing F02.B0 requires a comprehensive assessment of the patient's cognitive abilities and functional impairment. Clinicians need to identify and document the underlying medical condition responsible for the dementia.
In simple words: This code represents moderate dementia caused by a known medical condition, excluding common types like Alzheimer's.The person has noticeable difficulties with daily tasks but doesn't have significant behavioral or psychological problems at the time.
Major neurocognitive disorder in other diseases classified elsewhere, moderate, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety. This code describes a moderate stage of dementia resulting from a physical condition other than Alzheimer's disease, vascular dementia, or dementia related to alcohol or psychoactive substance use. It specifies that the patient is not experiencing any behavioral disturbances, mood disturbances, anxiety, or psychotic features alongside the dementia.The underlying physiological condition should be coded first.
Example 1: A patient with Huntington's disease (G10) experiences a moderate decline in cognitive function, affecting their daily life but without any behavioral disturbances. The codes G10 and F02.B0 would be used., A patient with a history of traumatic brain injury (S06.-) develops moderate dementia, impacting their ability to perform daily activities. They don't exhibit any behavioral or psychological symptoms related to the dementia.The codes S06.- and F02.B0 would be used., A patient with hypothyroidism (E03.9) develops moderate dementia. They do not display any behavioral disturbances, mood disturbances, or psychotic symptoms alongside their cognitive decline. The codes E03.9 and F02.B0 would be used.
Documentation should include details of the underlying physiological condition causing the dementia, evidence of moderate cognitive decline, and confirmation of the absence of behavioral, mood, anxiety, or psychotic disturbances. Specific examples of impacted daily living activities and cognitive testing results should be included. The diagnostic workup leading to the diagnosis of the underlying condition should also be documented.
- Specialties:Neurology, Geriatrics, Internal Medicine, Psychiatry, Family Medicine
- Place of Service:Inpatient Hospital, Office, Skilled Nursing Facility, Nursing Facility, Hospice, Home Health