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2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers

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Click here for more sample CPC practice exam questions and answers with full rationale

Clear Up Dementia Coding Confusion

2023 ICD-10-CM update expands F01-F03 code categories to allow providers to indicate disease stage and symptoms. The 2023 update to ICD-10-CM finally provided an expansion of the dementia codes, which has been needed for a very long time. Previously, we were only able to report with/without behavioral disturbance and a code option for wandering (Z91.83) […]

The post Clear Up Dementia Coding Confusion appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Dementia coding

Our providers very often document causal relationships between dementia and conditions such as:
Depression
Anxiety
Psychosis
Delusions
Hallucinations
Therefore I am seeking clarity how to properly code:
Dementia with Depression
Is it F03.90 and F32.9 or just F03.90?

Dementia with Anxiety
Is it F03.90 and F41.9 or just F03.90?

Dementia with Psychosis
Is it F03.90 and F29 or just F03.90

Any clarification on this would be most helpful.
Thank you.

Medical Billing and Coding Forum

Vascular Dementia without cause?

As you know, F01.50 requires a "first code" – psychological condition or sequelae of CVD/CVA. My coding book also has additional notes that specify "this type may also be related to other CVD including vascular hypertension and cerebral atherosclerosis." If the physician doesn’t specify a cause for the VD and there’s no history of CVD or a stroke, how would you fundamentally code without being able to query the physician? (Patient does have hypertension but no other cardiovascular issues.) Thanks coding community!

Medical Billing and Coding Forum

Vascular Dementia

Physician clarified underlying physiological condition of VD as diffuse traumatic brain injury, sequela and CVA. Under coding directions for VD is directs you to code first the underlying physiological condition. Under the coding directions for the brain injury is says to code first the late effect. How should this be coded?

Head injury, CVA, Vascular Dementia
CVA, Vascular Dementia, Head Injury

Also, was curious about need to add F02.8x with the head injury.

Medical Billing and Coding Forum

Dementia and Parkinson’s

Hello all,
I’ve got a little back and forth going on with an Attending Physician’s office regarding a change to a Primary Diagnosis (I am in Hospice). The patient was referred to us with a Primary Dx of Parkinson’s and with an Other Dx of Dementia. When I look in the Alphabetical listing I am led to G31.83 Dementia w/Lewy Bodies which INCLUDES Dementia w/Parkinsonism. The Attending is adamant that the Primary Dx remain Parkinson’s instead of using the combination code I was led to in the ICD-10 manual. I would like to be able to understand where to go from here…
Any suggestions or helpful tips would be welcome.
Thank you!
Melanie Shannon, CPC-A

Medical Billing and Coding Forum

HCC coding for dementia (2017 outpatient dx guidelines)

I have a question about how dementia should be coded in this scenario. (This is for HCC coding.) Here is how the dx reads:
1. Dementia, suspect either Alzheimer’s or microvascular changes.
2. Early Parkinson’s, but still able to adequately perform ADLs.

The answer I was given was G31.83, F02.80, and the reasoning was because this is coded using outpatient guidelines, you can’t code suspected diagnoses. And because of the definition of the word "with" in the alphabetic index, it is correct to code Parkinson’s with dementia even though it’s not explicitly stated in the dx. My problem is that it seems that the provider IS specifying what he thinks is causing the dementia, and Parkinson’s isn’t it. Two possible causes are mentioned, and Parkinson’s is mentioned separately. I know it’s hard to code hypotheticals, but any insight would be appreciated!

Medical Billing and Coding Forum

National Partnership to Improve Dementia Care & QAPI – September 15 Webinar

Webinar Date & Time: September 15, 1:30-3:00pm ET

Register Online: Click Here

This call focuses on effective care transitions between long-term and acute care settings, highlighting transitions that involve residents with dementia. This is critical for residents with dementia, as care transitions can cause heightened anxiety and aggression. Communication should be optimized, as care transitions are high-risk periods for nursing home residents. Additionally, CMS subject matter experts share updates on the progress of the National Partnership to Improve Dementia Care in Nursing Homes and Quality Assurance and Performance Improvement (QAPI). A question and answer session will follow the presentations.

Speakers:

• Dr. Kevin Biese, University of North Carolina (UNC), Department of Emergency Medicine
• Tammie Stanton, UNC Health Care System
• Kathryn Weigel, Rex Rehabilitation & Nursing Care Center of Apex
• Scott Bartlett, Pikes Peak Area Council of Governments – Area Agency on Aging
• Michele Laughman and Debbie Lyons, CMS

 

Target Audience:

Consumer and advocacy groups, nursing home providers, surveyor community, prescribers, professional associations, and other interested stakeholders.

CEU Worth:

Worth 1.5 AAPC & MMI approved continuing education units (CEUs).

 

Registration will close at 12:00 PM ET on the day of the call or when available space has been filled.

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