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MEDICARE REIMBURSMENT Alzheimer

Apurva Posted Tue 02nd of June, 2020 09:18:26 AM
If the patient is posing some signs of Alzheimer/Dementia/memory loss him or herself do we have to list family history if any? And as for codes do we mark Z81.8 and Z82.0 on the Req form with G30.9 IS THESE ICDs suffice for Medciare to reimburse
SuperCoder Answered Wed 03rd of June, 2020 10:17:08 AM

Hi Apurva,

Thank you for your question.

If the patient is posing some signs of Alzheimer/Dementia/memory loss, we will list family history.

It is ok to bill ICD- 10, Z81.8 (Family history of other mental and behavioral disorders) and Z82.0 (Family history of epilepsy and other diseases of the nervous system) with G30.9. (Alzheimer's disease, unspecified).

 

NOTE:

As per coding guidelines Alzheimer’s and dementia are paired codes so that even if the physician just states that a patient has Alzheimer’s, you will still code the dementia. An earlier request for information indicated that the physician has to identify that the patient has behaviors related to the dementia. Those behaviors may be aggressive behavior, combative behavior, or violent behavior and wandering off.

 

Also, These codes require mandatory sequencing, Adams says. Sequence the etiology (Alzheimer’s disease) first and the manifestation (dementia) second.

 

You may also use additional code to identify

delirium, if applicable (F05)
dementia with behavioral disturbance (F02.81)
dementia without behavioral disturbance (F02.80).

 

Hope it helps.

Apurva Posted Wed 03rd of June, 2020 10:25:07 AM
Will this pattern of ICDs get reimbursed in Medicare for Parkinson-Alzhemir Dementia Panel.
SuperCoder Answered Thu 04th of June, 2020 02:36:23 AM

Yes it will get reimbursed in medicare in same pattern.

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