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2025 ICD-10-CM code F02.818

Dementia in other diseases classified elsewhere, unspecified severity, with other behavioral disturbance.

The underlying physiological condition should be coded first. This code should not be used for dementia associated with alcohol or substance use (F10-F19 with .17, .27, .97) or vascular dementia (F01.-).

Medical necessity is established by the presence of dementia caused by a documented physiological condition and the associated behavioral disturbances impacting the patient's functioning.

Clinicians should diagnose the underlying physiological condition causing the dementia and document the specific behavioral disturbances exhibited by the patient.

IMPORTANT:If the patient exhibits wandering, use additional code Z91.83.

In simple words: This refers to a situation where someone has dementia caused by a physical condition, and they’re experiencing behavioral changes, like sleep problems or inappropriate social behavior.It's important to also identify the specific physical problem causing the dementia.

This code signifies dementia with unspecified severity due to a known physiological condition, accompanied by behavioral disturbances other than agitation, psychotic disturbance, mood disturbance, or anxiety.The underlying physiological condition must be coded separately.

Example 1: A patient with Parkinson's disease (G20) experiences increasing memory loss and displays socially inappropriate behavior., A patient with a traumatic brain injury (S06.-) develops dementia and starts experiencing sleep disturbances and disinhibition., A patient with Huntington's disease (G10) shows signs of dementia and also has difficulty controlling their impulses.

Documentation should clearly specify the underlying physiological condition causing the dementia and detail the specific behavioral disturbances exhibited. The severity of the dementia (mild, moderate, or severe) should be documented if known.

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