2025 ICD-10-CM code F02.B2
Moderate dementia due to a known physiological condition, with psychotic disturbance.
Medical necessity must be established by demonstrating the impact of the dementia and psychotic disturbances on the patient's functioning and quality of life.The documentation should justify the need for interventions, treatments, and support services related to the diagnosis.
Diagnosis and management typically fall under the purview of physicians specializing in neurology, psychiatry, or geriatrics.It may also involve other healthcare professionals, such as psychologists, social workers, and occupational therapists.
- Chapter V: Mental, Behavioral and Neurodevelopmental disorders (F01-F99)
- Mental disorders due to known physiological conditions (F01-F09)
In simple words: This diagnosis means a person has memory and thinking problems serious enough to affect daily life, but they are not totally dependent on others.These problems are caused by a physical condition or illness. The person also experiences hallucinations, delusions, or paranoia.
This code describes a state of moderate dementia resulting from a known physiological or medical condition.The dementia is characterized by a decline in cognitive abilities, including memory, thinking, and reasoning, that is severe enough to interfere with daily life but does not render the individual completely dependent.In addition, the individual experiences psychotic disturbances, such as hallucinations, delusions, paranoia, or suspiciousness.
Example 1: A patient with a history of moderate Parkinson's disease presents with increasing confusion, memory loss, and visual hallucinations.After a thorough evaluation, the physician diagnoses the patient with moderate dementia due to Parkinson's disease with psychotic disturbance., Following a traumatic brain injury, a patient exhibits cognitive decline and begins to experience paranoid delusions. Neuropsychological testing confirms moderate dementia, and the code F02.B2 is assigned., A patient with Huntington's disease experiences progressive cognitive decline. In the moderate stage of the disease, they develop hallucinations and suspiciousness, fulfilling the criteria for moderate dementia with psychotic disturbance.
Documentation should include details about the underlying physiological condition causing the dementia, evidence of cognitive decline impacting daily life, and specific descriptions of the psychotic disturbances, such as the type, frequency, and severity of hallucinations or delusions.Formal cognitive assessments, mental status examinations, and neurological evaluations can support the diagnosis.
- Payment Status: Active
- Specialties:Neurology, Psychiatry, Geriatrics
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office, Nursing Facility,Skilled Nursing Facility, Hospice, Home