Unspecified dementia, unspecified severity, with anxiety

This code signifies a diagnosis of dementia where the specific type (e.g., Alzheimer's, vascular) is not documented, and the severity of cognitive impairment is also not specified. It further indicates the presence of co-occurring anxiety symptoms.

This code is appropriate when a patient has a documented diagnosis of dementia and anxiety, but the provider's notes do not specify the type or severity of the dementia. Documentation must clearly state "dementia" and "anxiety," without further qualifying details regarding the dementia's etiology or stage.

• Avoid using this code if the documentation provides any indication of the dementia type (e.g., "probable Alzheimer's") or severity (e.g., "mild," "moderate").
• Always sequence the dementia code first, followed by any associated behavioral or psychological symptoms, unless a specific guideline dictates otherwise.
• Query the provider for clarification on dementia type and severity whenever possible to allow for more specific coding.