Health Information Management

Q&A: Lewy body dementia and Parkinson?s disease

HIM-HIPAA Insider, April 12, 2011

Want to receive articles like this one in your inbox? Subscribe to HIM-HIPAA Insider!

Q: May I report Lewy body dementia (LBD) for a patient who has Parkinson’s disease with dementia?

A: LBD is the second most common type of progressive dementia after Alzheimer’s disease. The condition causes a progressive decline in mental abilities. Signs and symptoms of LBD include visual hallucinations, movement disorders, delusions, cognitive problems, sleep difficulties, and fluctuating attention. Dementia with Lewy bodies overlaps clinically with Alzheimer’s disease and Parkinson’s disease and is more closely associated with the latter.
 
The alphabetic coding conventions of ICD-9-CM instruct coders to report two codes:
  • ICD-9-CM code 331.82 (dementia with Lewy bodies) for patients who have Parkinson’s disease with dementia; and
  • Either code 294.10 (dementia in conditions classified elsewhere without behavioral disturbances) or 294.11 (dementia in conditions classified elsewhere with behavioral disturbance), depending on whether behavioral disturbances are present
Editor’s note: Glenn Krauss, RHIA, CCS, CCS-P, CPUR, C-CDI, CCDS, an independent HIM consultant answered this question in the April issue of Briefings on Coding Compliance Strategies.



Want to receive articles like this one in your inbox? Subscribe to HIM-HIPAA Insider!

Most Popular