Unspecified dementia, moderate, with psychotic disturbance

This code signifies a diagnosis of dementia where the specific type (e.g., Alzheimer's, vascular) is not documented, and the patient exhibits a moderate level of cognitive impairment. Crucially, the patient also experiences psychotic symptoms such as hallucinations or delusions.

Apply this code when documentation clearly states "unspecified dementia" with a "moderate" severity and explicitly mentions the presence of "psychotic disturbance." This is appropriate when the underlying cause of dementia has not been determined or is not yet specified by the provider.

• Ensure documentation explicitly states "moderate" severity and "psychotic disturbance" in addition to "unspecified dementia."
• Do not use this code if the type of dementia (e.g., Alzheimer's, vascular) is specified; instead, use the appropriate code from categories F01 or F02.
• Sequence this code as the primary diagnosis when it is the reason for the encounter, or as a secondary diagnosis if another condition is the primary reason for care.