Posts tagged ‘294.11’

October 25, 2011

Dementia redux

I am already getting questions on dementia coding … here we go!

Question: Now that the new dementia codes (294.10, 294.11) have come out, do we only use them for a dementia related to another condition that was coded and use 290.0 for straight senile dementia OR do we have to use 294.1x for all dementia?

Lisa says: The new dementia codes are 294.20 and 294.21. Those are for dementia NOS. Senile dementia is coded when documented. 294.1x codes for use when associated with physical conditions such as those listed. 
July 14, 2011

Will 294.20 and 294.21 take over as main dementia codes?

Two of the code set that go live Oct. 1 are new dementia codes 294.20, Dementia, unspecified, without behavioral disturbance
(Dementia NOS), and 294.21, Dementia, unspecified, with behavioral disturbance (This code includes dementia with Aggressive behavior, Combative behavior, or Violent behavior.

We have been coding with 294.10 and 294.11, which indicate Dementia in conditions classified elsewhere either with (.10) or without (.11) behavioral disturbance.

There are no Code First, or Code Underlying commands for the new 294.2x codes, so they hold an advantage that they shouldn’t be manifestation codes like the 294.1x codes. This means the 294.2x should be valid when you don’t know the disease causing the dementia, but  you have the dementia diagnosis.

It’s hard to say how much these new codes will “take over” the 294.1x codes, but hopefully, they will reduce the coding of the more vague 294.8 (Other persistent mental disorders due to conditions classified elsewhere).

Note: If your patient wandered off because of the dementia, 294.11 may have been your code, but Wandering off has been stripped from that code. See if Wandering in conditions classified elsewhere (V40.31) might describe your patient’s condition.

November 11, 2010

November is National Alzheimer’s Awareness Month

According to the Alzheimer’s Association, there are more than 5 million Americans living with Alzheimer’s disease.
Alzheimer’s coding needs to be thought of in terms of multiple aspects of care or multiple symptoms/conditions caused by the Alzheimer’s.
In order to code Alzheimer’s (331.0) primary, multiple issues must be related to this diagnosis. Let’s say your patient had dementia and dysphagia, both specifically documented as related to the Alzheimer’s. You would code 331.0, 294.11, 787.20 with Alzheimer’s primary because of the multiple manifestations of the disease.
If the patient was only being treated for dysphagia related to Alzheimer’s, you would code 787.20, 331.0. That one point of care should be the primary code, not the underlying long-term condition.

Go here for more information on Alzheimer’s facts and figures.