Unsp dementia, unspecified severity, with psychotic disturb

This code signifies a diagnosis of dementia where the specific type (e.g., Alzheimer's, vascular) is not documented, and the severity of the dementia is also not specified. The patient exhibits psychotic symptoms, such as hallucinations or delusions, in conjunction with their cognitive decline.

This code is appropriate when documentation clearly indicates dementia with psychotic features, but the provider has not specified the underlying cause or the severity of the dementia. It should be used when the medical record lacks sufficient detail to assign a more specific dementia code.

• Avoid using this code if the type or severity of dementia is documented; opt for a more specific code.
• Ensure documentation explicitly mentions "psychotic disturbance" or specific psychotic symptoms (e.g., hallucinations, delusions) alongside dementia.
• Review the medical record for any clues that might allow for a more precise dementia diagnosis, such as imaging results or neurological evaluations.