ICD Code F03.90

ICD code F03.90 is used to classify cases of dementia where the specific type and severity are not specified, and the condition is not accompanied by behavioral disturbances, psychotic disturbances, mood disturbances, or anxiety. This code is typically used when a patient exhibits symptoms of dementia, but further details about the condition are either unavailable or not documented.

1. Cognitive Decline: Presence of noticeable decline in cognitive abilities, such as memory, attention, language, or problem-solving skills, that interferes with daily functioning.

2. Absence of Behavioral Disturbance: No significant behavioral symptoms such as aggression, agitation, or wandering that are commonly associated with dementia.

3. No Psychotic Disturbance: Lack of psychotic symptoms, including hallucinations or delusions, which can sometimes accompany dementia.

4. No Mood Disturbance: Absence of mood-related symptoms such as depression or mania that could affect the diagnosis.

5. No Anxiety Symptoms: No significant anxiety symptoms that could complicate the clinical picture or diagnosis.

6. Unspecified Severity: The severity of the cognitive decline is not clearly defined or categorized, indicating that it does not fit neatly into mild, moderate, or severe categories.

7. Unspecified Type: The type of dementia is not specified, meaning it does not clearly align with more specific types such as Alzheimer's disease, vascular dementia, or others.

8. Exclusion of Other Causes: Other potential causes of cognitive decline, such as delirium, depression, or other medical conditions, have been ruled out.

9. Clinical Evaluation: Diagnosis is based on a comprehensive clinical evaluation, including patient history, physical examination, and possibly neuropsychological testing, to confirm the presence of dementia without specifying the type or severity.

For the ICD code F03.90, the relevant CPT codes that may be applicable include:

1. CPT 90791 - Psychiatric diagnostic evaluation without medical services.

2. CPT 90832 - Psychotherapy, 30 minutes with patient.

3. CPT 90834 - Psychotherapy, 45 minutes with patient.

4. CPT 90837 - Psychotherapy, 60 minutes with patient.

5. CPT 96132 - Neuropsychological testing evaluation services by a physician or other qualified healthcare professional, first hour.

6. CPT 96133 - Neuropsychological testing evaluation services by a physician or other qualified healthcare professional, each additional hour.

7. CPT 96116 - Neurobehavioral status exam (clinical assessment of thinking, reasoning, and judgment, e.g., acquired knowledge, attention, language, memory, planning and problem solving, and visual-spatial abilities), per hour of the psychologist’s or physician’s time, both face-to-face time with the patient and time interpreting test results and preparing the report.

These CPT codes are commonly used in the treatment and management of conditions associated with the ICD code F03.90. It is important for healthcare providers to verify the specific services rendered and ensure accurate coding for reimbursement purposes.

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