Not Valid for Submission
F03.9 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of unspecified dementia. The code is not specific and is NOT valid for the year 2021 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.
Unspecified diagnosis codes like F03.9 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
Specific Coding for Unspecified dementia
Non-specific codes like F03.9 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for unspecified dementia:
- MENTAL STATUS AND DEMENTIA TESTS-. tests designed to assess various aspects of neurocognitive function or dementia.
- ALZHEIMER DISEASE-. a degenerative disease of the brain characterized by the insidious onset of dementia. impairment of memory judgment attention span and problem solving skills are followed by severe apraxias and a global loss of cognitive abilities. the condition primarily occurs after age 60 and is marked pathologically by severe cortical atrophy and the triad of senile plaques; neurofibrillary tangles; and neuropil threads. from adams et al. principles of neurology 6th ed pp1049 57
- AMYOTROPHIC LATERAL SCLEROSIS-. a degenerative disorder affecting upper motor neurons in the brain and lower motor neurons in the brain stem and spinal cord. disease onset is usually after the age of 50 and the process is usually fatal within 3 to 6 years. clinical manifestations include progressive weakness atrophy fasciculation hyperreflexia dysarthria dysphagia and eventual paralysis of respiratory function. pathologic features include the replacement of motor neurons with fibrous astrocytes and atrophy of anterior spinal nerve roots and corticospinal tracts. from adams et al. principles of neurology 6th ed pp1089 94
- DEMENTIA-. an acquired organic mental disorder with loss of intellectual abilities of sufficient severity to interfere with social or occupational functioning. the dysfunction is multifaceted and involves memory behavior personality judgment attention spatial relations language abstract thought and other executive functions. the intellectual decline is usually progressive and initially spares the level of consciousness.
- SCHIZOPHRENIA-. a severe emotional disorder of psychotic depth characteristically marked by a retreat from reality with delusion formation hallucinations emotional disharmony and regressive behavior.
- DEMENTIA VASCULAR-. an imprecise term referring to dementia associated with cerebrovascular disorders including cerebral infarction single or multiple and conditions associated with chronic brain ischemia. diffuse cortical and subcortical subtypes have been described. from gerontol geriatr 1998 feb;311:36 44
- DEMENTIA MULTI INFARCT-. loss of higher cortical functions with retained awareness due to multiple cortical or subcortical cerebral infarction. memory judgment attention span and impulse control are often impaired and may be accompanied by pseudobulbar palsy; hemiparesis; reflex abnormalities and other signs of localized neurologic dysfunction. from adams et al. principles of neurology 6th ed p1060
- AIDS DEMENTIA COMPLEX-. a neurologic condition associated with the acquired immunodeficiency syndrome and characterized by impaired concentration and memory slowness of hand movements ataxia incontinence apathy and gait difficulties associated with hiv 1 viral infection of the central nervous system. pathologic examination of the brain reveals white matter rarefaction perivascular infiltrates of lymphocytes foamy macrophages and multinucleated giant cells. from adams et al. principles of neurology 6th ed pp760 1; n engl j med 1995 apr 6;33214:934 40
- PRION DISEASES-. a group of genetic infectious or sporadic degenerative human and animal nervous system disorders associated with abnormal prions. these diseases are characterized by conversion of the normal prion protein to an abnormal configuration via a post translational process. in humans these conditions generally feature dementia; ataxia; and a fatal outcome. pathologic features include a spongiform encephalopathy without evidence of inflammation. the older literature occasionally refers to these as unconventional slow virus diseases. from proc natl acad sci usa 1998 nov 10;9523:13363 83
- PICK DISEASE OF THE BRAIN-. a rare form of dementia that is sometimes familial. clinical features include aphasia; apraxia; confusion; anomia; memory loss; and personality deterioration. this pattern is consistent with the pathologic findings of circumscribed atrophy of the poles of the frontal lobe and temporal lobe. neuronal loss is maximal in the hippocampus entorhinal cortex and amygdala. some ballooned cortical neurons contain argentophylic pick bodies. from brain pathol 1998 apr;82:339 54; adams et al. principles of neurology 6th ed pp1057 9
- LEWY BODY DISEASE-. a neurodegenerative disease characterized by dementia mild parkinsonism and fluctuations in attention and alertness. the neuropsychiatric manifestations tend to precede the onset of bradykinesia muscle rigidity and other extrapyramidal signs. delusions and visual hallucinations are relatively frequent in this condition. histologic examination reveals lewy bodies in the cerebral cortex and brain stem. senile plaques and other pathologic features characteristic of alzheimer disease may also be present. from neurology 1997;48:376 380; neurology 1996;47:1113 1124
- CADASIL-. a familial cerebral arteriopathy mapped to chromosome 19q12 and characterized by the presence of granular deposits in small cerebral arteries producing ischemic stroke; pseudobulbar palsy; and multiple subcortical infarcts cerebral infarction. cadasil is an acronym for cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy. cadasil differs from binswanger disease by the presence of migraine with aura and usually by the lack of history of arterial hypertension. from bradley et al neurology in clinical practice 2000 p1146
- FRONTOTEMPORAL DEMENTIA-. the most common clinical form of frontotemporal lobar degeneration this dementia presents with personality and behavioral changes often associated with disinhibition apathy and lack of insight.
Information for Patients
Also called: Senility
Dementia is the name for a group of symptoms caused by disorders that affect the brain. It is not a specific disease. People with dementia may not be able to think well enough to do normal activities, such as getting dressed or eating. They may lose their ability to solve problems or control their emotions. Their personalities may change. They may become agitated or see things that are not there.
Memory loss is a common symptom of dementia. However, memory loss by itself does not mean you have dementia. People with dementia have serious problems with two or more brain functions, such as memory and language. Although dementia is common in very elderly people, it is not part of normal aging.
Many different diseases can cause dementia, including Alzheimer's disease and stroke. Drugs are available to treat some of these diseases. While these drugs cannot cure dementia or repair brain damage, they may improve symptoms or slow down the disease.
NIH: National Institute of Neurological Disorders and Stroke
- Dementia (Medical Encyclopedia)
- Dementia - behavior and sleep problems (Medical Encyclopedia)
- Dementia - daily care (Medical Encyclopedia)
- Dementia - keeping safe in the home (Medical Encyclopedia)
- Dementia and driving (Medical Encyclopedia)
- Dementia due to metabolic causes (Medical Encyclopedia)
- Mental status testing (Medical Encyclopedia)
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