tci ED Coding & Reimbursement Alert - 2024 Issue Q2

Reader Questions: Determine Whether to Code Dementia With Alzheimer’s Diagnosis

Question: Dementia is a symptom of Alzheimer’s, so does that mean I can’t code them together? Answer: The answer to this will come down to documentation. Here’s why. First, let’s review the ICD-10 guidelines you’re alluding to, which are 1.B.4-6. They state the following: “Codes that describe symptoms and signs, as opposed to diagnoses, are acceptable for reporting purposes when a related definitive diagnosis has not been established (confirmed) by the provider… Signs and symptoms that are associated routinely with a disease process should not be assigned as additional codes, unless...

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