Vascular dementia, mild, with psychotic disturbance

This code signifies a form of dementia caused by cerebrovascular disease, characterized by mild cognitive decline. The patient also presents with psychotic symptoms, such as hallucinations or delusions, directly attributable to the dementia.

Apply this code when documentation clearly indicates a diagnosis of vascular dementia at a mild stage, alongside co-occurring psychotic features. Supporting documentation should include a neurological assessment, cognitive evaluation confirming mild impairment, and psychiatric evaluation detailing the psychotic disturbance.

• Ensure the documentation specifies "mild" severity for the vascular dementia.
• Distinguish from other dementia types with psychotic features (e.g., Alzheimer's with psychotic disturbance).
• Always review the medical record for explicit mention of psychotic symptoms directly linked to the vascular dementia.