Unspecified dementia, mild, with psychotic disturbance

This code signifies a diagnosis of dementia of an unspecified type, presenting with mild cognitive impairment. A key feature for this specific code is the presence of psychotic symptoms, such as hallucinations or delusions, alongside the mild dementia.

Apply this code when documentation clearly indicates a diagnosis of dementia without a specified etiology (e.g., Alzheimer's, vascular), the severity is explicitly stated as "mild," and there is co-occurring psychotic disturbance. This is appropriate when the physician has not yet determined the specific type of dementia but has identified its mild severity and the presence of psychosis.

• Ensure documentation specifies "mild" severity and "psychotic disturbance" for accurate code assignment.
• Avoid using this code if the type of dementia (e.g., Alzheimer's, vascular) is known; instead, use a more specific code from categories G30, F01, etc., with an additional code for the psychotic features if applicable.
• Always sequence the dementia code first, followed by any associated behavioral or psychological symptoms of dementia (BPSD) if separate codes are required.