Dementia
Definition
Dementia is characterized by the presence of marked impairment in two or more cognitive domains relative to that expected given the individual’s age and general premorbid level of cognitive functioning, which represents a decline from the individual’s previous level of functioning. Memory impairment is present in most forms of dementia, but cognitive impairment is not restricted to memory (i.e., there is impairment in other areas such as executive functions, attention, language, social cognition and judgment, psychomotor speed, visuoperceptual or visuospatial abilities). Neurobehavioural changes may also be present and, in some forms of dementia, may be the presenting symptom. Cognitive impairment is not attributable to normal aging and is severe enough to significantly interfere with independence in an individual’s performance of activities of daily living. The cognitive impairment is presumed to be attributable to an underlying acquired disease of the nervous system, a trauma, an infection or other disease process affecting the brain, or to use of specific substances or medications, nutritional deficiency or exposure to toxins, or the etiology may be undetermined. The impairment is not due to current substance intoxication or withdrawal.
Coding note
This category should only be used for primary tabulation, if the aetiology of the dementia is unknown. If the aetiology of the dementia is known code to the aetiology of the dementia for primary tabulation. When dementia is due to multiple aetiologies, code all that apply.
Inclusions
- Dementia NOS
- major neurocognitive disorder
Exclusions
- Ageing associated decline in intrinsic capacity
(MG2A) - Coma
(MB20.1) - Delirium
(6D70) - Disorders of intellectual development
(6A00) - Neurodevelopmental disorders
- Stupor
(MB20.0)
9 subordinate codes
6D80Dementia due to Alzheimer disease6D81Dementia due to cerebrovascular disease6D82Dementia due to Lewy body disease6D83Frontotemporal dementia6D84Dementia due to psychoactive substances including medications6D85Dementia due to diseases classified elsewhere6D86Behavioural or psychological disturbances in dementia4B4YOther specified diseases of the immune system4B4ZDiseases of the immune system, unspecified