Neurology & Pain Management Coding Alert

Reader Questions:

Look to 310 and 331 for Mild Cognitive Impairment

Question: What diagnoses do carriers usually accept for mild cognitive impairment? Tennessee Subscriber Answer: Codes in the 310 or 331 series might be your best choices. Carriers often accept diagnoses such as: - 310.8 -- Other specified nonpsychotic mental disorders following organic brain damage - 310.9 -- Unspecified nonpsychotic mental disorder following organic brain damage - 331.0 -- Alzheimer's disease - 331.2 -- Senile degeneration of brain - 331.83 -- Mild cognitive impairment, so stated. Note: Always check the specific carrier's local coverage determination to help ensure your diagnosis coding is on track. Medicare, for example, accepts 331.83 for mild cognitive impairment, but Blue Cross/Blue Shield prefers 780.93 (Memory loss). Don't forget: You should never code based on what will get the claim paid. Instead, you should always report the diagnosis code most clearly documented in the physician's notes.
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Neurology & Pain Management Coding Alert

View All