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F01.511

Billable

Vascular dementia, unspecified severity, with agitation

HCC Category Mapping

V28HCC 127Dementia, Mild or Unspecified
0.464
RxHCCHCC 112Dementia and Other Specified Brain Disorders
0.000

What 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

Code Hierarchy

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