ICD 10 Coding Alert

Question: If our provider diagnoses a patient with Alzheimer's disease, can I use the patient's age as it appears in his or her medical record to determine whether the form of the disease is early onset or late?

Louisiana Subscriber

Answer: Though there is nothing in the ICD-10-CM descriptors to indicate the difference between G30.0 (Alzheimer's disease with early onset) and G30.1 (Alzheimer's disease with late onset), the Alzheimer's Association and other organizations generally regard age 65 as the dividing line between early and late onset. However, just because the documentation in the medical record contains the patient's age does not mean you can use it to provide the diagnosis. Simply put, if the provider does not document early or late, you will have to report G30.9 (Alzheimer's disease, unspecified).

This code is preferred over G30.8 (Other Alzheimer's disease), which is reserved for any specified type of Alzheimer's that is not early or late onset, such as familial Alzheimer's disease, an inherited condition that tends to manifest earlier in a patient's life but that requires diagnoses in at least two generations of the patient's family.