F01.54
BillableVascular dementia, unspecified severity, with anxiety
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 anxiety as a significant symptom.
Coding Tips
- •Anxiety in vascular dementia may present as worry, nervousness, or panic-like symptoms
- •Confirm anxiety is present and document its severity and impact on the patient's functioning
Clinical Significance
Vascular dementia with anxiety captures clinically significant anxiety symptoms occurring in the context of cerebrovascular-caused cognitive decline. Anxiety in dementia patients often manifests as fear of being alone, generalized worry, or panic symptoms and can significantly worsen functional decline and quality of life.
Documentation Requirements
- ✓Diagnosis of vascular dementia with cerebrovascular etiology
- ✓Documented anxiety symptoms (generalized worry, fear, panic, separation anxiety)
- ✓Cognitive assessment results
- ✓Anxiety screening or assessment results if available
- ✓Treatment plan for anxiety (pharmacologic and non-pharmacologic approaches)
- ✓Distinction from behavioral, psychotic, and mood disturbances
Commonly Confused Codes
F01.50 — Vascular dementia without behavioral disturbance: use when no anxiety is presentF01.53 — Vascular dementia with mood disturbance: for depression/mood changes rather than anxietyF41.1 — Generalized anxiety disorder: standalone anxiety not in dementia contextF01.511 — Vascular dementia with agitation: agitation is behavioral, not the same as anxiety
Code Hierarchy
└F01Vascular dementia└F01.5Vascular dementia, unspecified severity└F01.54Vascular dementia, unspecified severity, with anxiety
└F01.54Vascular dementia, unspecified severity, with anxiety