F01.511
BillableVascular dementia, unspecified severity, with agitation
HCC Category Mapping
V28HCC 127 — Dementia, Mild or Unspecified
0.464RxHCCHCC 112 — Dementia and Other Specified Brain Disorders
0.000What This Code Means
Dementia caused by reduced blood flow to the brain, with agitation or restlessness as the primary behavioral symptom.
Coding Tips
- •Agitation is a specific behavioral disturbance; document the presence and nature of agitation in the medical record
- •The '511' indicates unspecified severity with agitation; do not use if other behavioral disturbances are more prominent
Clinical Significance
Vascular dementia with agitation indicates cerebrovascular-caused cognitive decline accompanied by behavioral disturbance in the form of agitation. Agitation in dementia significantly increases caregiver burden, risk of institutionalization, and often requires pharmacologic management with careful consideration of risks.
Documentation Requirements
- ✓Diagnosis of vascular dementia with documentation of cerebrovascular etiology
- ✓Documented agitation as a behavioral disturbance (restlessness, aggressive behavior, psychomotor hyperactivity)
- ✓Cognitive assessment results
- ✓Management plan for agitation (behavioral interventions, medications if used)
- ✓Assessment of safety risks related to agitated behavior
- ✓Brain imaging supporting vascular etiology
Commonly Confused Codes
F01.50 — Vascular dementia without behavioral disturbance: use when no agitation or behavioral issues presentF01.518 — Vascular dementia with other behavioral disturbance: use for behavioral disturbances other than agitation (wandering, etc.)F01.52 — Vascular dementia with psychotic disturbance: use when hallucinations or delusions are presentF03.911 — Unspecified dementia with agitation: use only when dementia type is not specified
Code Hierarchy
└F01Vascular dementia└F01.5Vascular dementia, unspecified severity└F01.51Vascular dementia, unspecified severity, with behavioral disturbance└F01.511Vascular dementia, unspecified severity, with agitation
└F01.511Vascular dementia, unspecified severity, with agitation