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2025 ICD-10-CM code F02.B4

Dementia in other diseases classified elsewhere, moderate, with anxiety.

Code first the underlying physiological condition causing the dementia.Do not use this code if the dementia is mild or severe, or if it is due to a condition with a more specific dementia code (e.g., vascular dementia).

Medical necessity is established by the presence of a documented underlying physiological condition causing the moderate dementia and the co-occurring anxiety.The documentation should support the need for medical intervention and management of both conditions.

Clinicians should carefully document the underlying physiological condition causing the dementia, the severity of the dementia, and the presence of the anxiety.

In simple words: This code indicates moderate dementia caused by a physical condition, along with the presence of anxiety.

Major neurocognitive disorder in other diseases classified elsewhere, moderate, with anxiety.This code should be used when a patient has moderate dementia (major neurocognitive disorder) caused by a known physiological condition other than those specifically listed elsewhere in the ICD-10-CM classification.The patient also experiences anxiety.

Example 1: A patient with Huntington's disease (G10) develops moderate dementia and also exhibits symptoms of generalized anxiety disorder., A patient with a traumatic brain injury (S06.-) experiences moderate dementia and significant anxiety related to their cognitive decline., A patient with multiple sclerosis (G35) exhibits moderate dementia with accompanying anxiety.

Documentation should clearly link the dementia and anxiety to the underlying physiological condition.The severity of the dementia should be supported by clinical findings, including cognitive assessments.The presence and severity of anxiety should be documented, including the impact on the patient's functioning. The underlying physiological condition should be coded first.

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