Possible: 331.9 tional code for the (631.9)c vascular disease.) 907.0 ($06.2X93) 294.1x (F02.8x) 331.83 (631.84) code for the trau- matic brain injury.)
No additional medical Code based on the Code based on the code type of substance causing the major type of substance causing the mild
Due to another
Due to multiple 046.79 (A819)
Probable: 332.0 (620)
Possible: No additional 333.4 (G10)
Code the other medical (e.g., 340 [635]
Code all of the etiological (with the exception of 294.1x (F02.8x) 294.1 x (F02.8x)
Probable: 294.1x (F02.8x)
Possible: 331.9 (631 .9)0 294.1x (F02.8x) 294.1x (F02.8x) 294.1x (F02.8x) (Plus the code for the relevant sub- etiology.) 799.59 (R413) 331.83 (G31.84) infection.) 331.83 (631.84) prion disease.) 331.83 (G31.a4) disease.) 331.83 (G31.84) disease.) 331.83 (G31.84) tions.) 331.83 (G31.84) (Plus the code for the relevant sub- a role in the etiol- ogy. Do not use ad- the presumed conditions.) 799.59 (R41.9) aCode first, before code for major neurocognitive disorder.
bCode fifth character based on symptom specifier: .xO without behavioral disturbance; .x1 with be- havioral disturbance (e.g., psychotic symptoms, mood disturbance, agitation, apathy, or other be- havioral symptoms).
CNote: Behavioral disturbance specifier cannot be coded but should still be indicated in writing.
dSee “Substance/Medication-Induced Major or Mild Neurocognitive Disorder.”
Specify:
Without behavioral disturbance: If the cognitive disturbance is not accompanied by any clinically significant behavioral disturbance.
With behavioral disturbance (specify disturbance): If the cognitive disturbance is ac- companied by a clinically significant behavioral disturbance (e.g., psychotic symptoms, mood disturbance, agitation, apathy, or other behavioral symptoms).
Specify current severity:
Mild: Difficulties with instrumental activities of daily living (e.g., housework, managing money).
Moderate: Difficulties with basic activities of daily living (e.g., feeding, dressing).
Severe: Fully dependent.
A. Evidence of modest cognitive decline from a previous level of performance in one or more cognitive domains (complex attention, executive function, learning and memory, language, perceptual motor, or social cognition) based on: 1. Concern oi the individual, a knowledgeable informant, or the clinician that there has 2. A modest impairment in cognitive performance, preferably documented by stan- dardized neuropsychological testing or, in its absence, another quantified clinical assessment.
B. The cognitive deficits do not interfere with capacity for independence in everyday activities (i.e., complex instrumental activities of daily living such as paying bills or managing medications are preserved, but greater effort, compensatory strategies, or accommodation may be required).
C. The cognitive deficits do not occur exclusively in the context of a delirium.
D. The cognitive deficits are not better explained by another mental disorder (e.g., major depressive disorder, schizophrenia).
Specify whether due to: