HCPro, JustCoding Outpatient - 2018 Issue 22 (June)
Review diagnosis criteria, codes for cognitive impairment
June 5th, 2018
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Article Overview
This article explains the general clinical context of cognitive impairment and outlines how screening, evaluation, and care planning fit into primary care and Medicare wellness settings. It also discusses the broad relationship between cognitive assessment services and supporting diagnosis reporting with ICD-10-CM, making it useful for coders, billers, clinicians, and care coordinators who work with dementia and mild cognitive impairment documentation.
Why This Topic Matters
Cognitive impairment is common, may require early assessment, and often involves coordination among clinicians, caregivers, and support services. Understanding the article helps readers recognize the scope of coding and documentation issues tied to evaluation and care planning for these patients.
Article Sections
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Introduction
Introduces cognitive impairment as a clinical and coding topic, with emphasis on its effect on daily functioning and primary care recognition.
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Early screening benefits
Summarizes the purpose of early screening and the kinds of follow-up activities that may be considered after screening results.
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Evaluation of cognitive impairment
Describes the general approach to evaluating patients after a positive screen, including the roles of caregivers and referral pathways.
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Care planning
Covers comprehensive care planning in the context of Medicare reimbursement and the overall documentation framework for these visits.
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ICD-10-CM codes commonly used to report dementia and mild cognitive impairment include
Presents the diagnosis coding portion of the article and identifies the general categories of ICD-10-CM diagnoses referenced for cognitive conditions.
What You Will Learn
- How cognitive impairment is generally discussed in a primary care and Medicare context
- What types of screening and follow-up evaluation topics are covered
- How comprehensive care planning is framed for patients with cognitive impairment
- Which broad diagnosis coding categories are associated with dementia and mild cognitive impairment documentation
Who Should Read This
- Medical coders
- Billers
- Primary care clinicians
- Care coordinators
- Clinical documentation staff
Codes Discussed
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