ICD Code F03.91

ICD code F03.91 is unspecified dementia with behavioral disturbance.

1. Evidence of significant cognitive decline from a previous level of performance in one or more cognitive domains (such as memory, executive function, language, visuospatial skills, learning, or social cognition).

2. Cognitive deficits interfere with independence in everyday activities.

3. Cognitive deficits are not better explained by another mental disorder (e.g., major depressive disorder, schizophrenia).

4. Behavioral disturbances are present, such as agitation, aggression, delusions, hallucinations, or other significant changes in behavior.

5. The specific type or cause of dementia cannot be determined after thorough evaluation.

6. Symptoms are not attributable to delirium or other acute medical conditions.

Relevant CPT codes that may be used to treat ICD code F03.91 include:

- 90791 (Psychiatric diagnostic evaluation)

- 90832 (Psychotherapy, 30 minutes with patient and/or family member)

- 90834 (Psychotherapy, 45 minutes with patient and/or family member)

- 90837 (Psychotherapy, 60 minutes with patient and/or family member)

- 96116 (Neurobehavioral status exam)

- 96132 (Neuropsychological testing evaluation services, first hour)

- 96133 (Neuropsychological testing evaluation services, each additional hour)

- 99483 (Assessment and care planning for patients with cognitive impairment)

- 99354 (Prolonged service in the office or other outpatient setting, first hour)

- 99355 (Prolonged service in the office or other outpatient setting, each additional 30 minutes)

- 99213, 99214, 99215 (Office or other outpatient visit for the evaluation and management of an established patient)

These CPT codes are commonly associated with the treatment and management of F03.91.

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