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Neurology & Pain Management Coding Alert

Reader Questions:

Remember Code First Notes for Neuro Disorder

Question: The surgeon treats a patient with mild neurocognitive disorder due to Parkinson鈥檚 disease. Is there a single ICD-10 code for this condition?

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Answer: No, you鈥檒l need a pair of diagnosis codes to complete the picture of this patient鈥檚 condition. On the claim, report G20 (Parkinson鈥檚 disease) along with F06.7 (Mild neurocognitive disorder due to known physiological condition) to represent the neurocognitive disorder.

More about F06.7: ICD-10 reminds coders to 鈥淐ode first the underlying physiological condition, such as:

  • 鈥淎lzheimer鈥檚 disease (G30.-)
  • 鈥渇rontotemporal neurocognitive disorder (G31.09)
  • 鈥渉uman immunodeficiency virus [HIV] disease (B20)
  • 鈥淗untington鈥檚 disease (G10)
  • 鈥淣eurocognitive disorder with Lewy bodies (G31.83)
  • 鈥淧arkinson鈥檚 disease (G20)
  • 鈥渟ystemic lupus erythematosus (M32.-)
  • 鈥渢raumatic brain injury (S06.-)
  • 鈥渧itamin B deficiency (E53-).鈥