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Dementia Dx - 294.11

Tierni Posted Wed 10th of December, 2014 15:16:02 PM

We are being told the dx 294.11 now needs an underlying condition (i.e. Alzheimer's, epilepsy, etc.) when using 294.11. What if a patient has dementia due to old age.

What underlying dx would we use at that point?

SuperCoder Answered Wed 10th of December, 2014 16:43:01 PM

Thanks for your question. You are correct, the instructional notes for 294.11; Dementia in conditions classified elsewhere with behavioral disturbance directs you to code any underlying condition where applicable. You should query your physician or review the patients record to determine the appropriate additional code or if this is the best code to use. See also the senile dementia codes in the 290 series. See attached links for additional information.

https://www.supercoder.com/coding-newsletters/my-homehealth-icd-9-alert/coding-101-zero-in-on-etiology-behavior-notes-for-accurate-dementia-coding-116191-article

https://www.supercoder.com/coding-newsletters/my-homehealth-icd-9-alert/reader-questions-29411-2948-read-the-fine-print-before-coding-dementia-116068-article

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