F01.518

Billable

Vascular dementia, unspecified severity, with other behavioral disturbance

HCC Category Mapping

V28HCC 127 — Dementia, Mild or Unspecified

0.464

RxHCCHCC 112 — Dementia and Other Specified Brain Disorders

0.000

What This Code Means

Dementia caused by reduced blood flow to the brain, with behavioral problems other than agitation (such as wandering, inappropriate behavior, or verbal outbursts).

Coding Tips

•Use this code when behavioral disturbances are present but are not specifically agitation
•Document the specific type of behavioral disturbance to support medical necessity

Clinical Significance

Vascular dementia with other behavioral disturbance captures behavioral symptoms other than agitation, such as wandering, inappropriate sexual behavior, hoarding, sleep disturbances, or verbal outbursts. These behaviors significantly complicate care and may require specialized dementia care settings.

Documentation Requirements

✓Diagnosis of vascular dementia with cerebrovascular etiology documented
✓Specific behavioral disturbance described (wandering, inappropriate behavior, sleep-wake disturbance, etc.)
✓Documentation that the behavioral disturbance is NOT primarily agitation (which has its own code)
✓Impact of behavior on daily functioning and safety
✓Management plan for the behavioral disturbance
✓Cognitive assessment results

Use Additional Code

code, if applicable, to identify wandering in vascular dementia (Z91.83)

Commonly Confused Codes

F01.511 — Vascular dementia with agitation: use specifically when agitation is the behavioral disturbance F01.50 — Vascular dementia without behavioral disturbance: use when no behavioral issues are present F01.52 — Vascular dementia with psychotic disturbance: use when hallucinations or delusions are present F01.53 — Vascular dementia with mood disturbance: use when depression or mood changes are the primary issue

Code Hierarchy

└F01Vascular dementia └F01.5Vascular dementia, unspecified severity └F01.51Vascular dementia, unspecified severity, with behavioral disturbance └F01.518Vascular dementia, unspecified severity, with other behavioral disturbance

└F01.518Vascular dementia, unspecified severity, with other behavioral disturbance