ICD-11 Criteria for Amnestic Disorder (6D72)
Prominent memory impairment relative to expectations for age and general premorbid level of cognitive functioning, which represents a decline from the individual’s previous level of functioning characterizes amnestic disorder, in the absence of other significant
cognitive impairment. It is manifested by a deficit in acquiring, learning,
and/or retaining new information, and may include the inability to recall
previously learned information, without disturbance of consciousness, altered
mental status, or delirium. Recent memory is typically more disturbed than
remote memory, and the ability to immediately recall a limited amount of
information is usually relatively preserved. The memory impairment is severe
enough to result in significant impairment in personal, family, social,
educational, occupational, or other important areas of functioning. It is 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, 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.
Exclusions:
- Delirium (6D70)
- Dementia (BlockL2‑6D8)
- Mild neurocognitive disorder (6D71)
6D72.0 Amnestic disorder due to diseases classified elsewhere
All definitional requirements for
amnestic disorder are met. The memory symptoms are judged to be the direct
pathophysiological consequence of a medical condition not classified under
mental, behavioural and neurodevelopmental disorders, based on evidence from
the history, physical examination, or laboratory findings. The symptoms are not
better explained by Delirium, Dementia, another mental disorder (e.g.,
Schizophrenia or Other Primary Psychotic Disorder, a Mood Disorder) or the
effects of a medication or substance, including withdrawal effects. The
symptoms are sufficiently severe to be a specific focus of clinical attention.
The identified etiological medical condition should be classified separately.
Coding
Note: Code
aslo the causing condition
Exclusions:
- amnesia: retrograde (MB21.11)
- Korsakoff syndrome, alcohol-induced or unspecified (8D44)
- Dissociative amnesia (6B61)
- Anterograde amnesia (MB21.10)
- amnesia NOS (MB21.1)
6D72.1 Amnestic disorder due to psychoactive substances including medications
I met all definitional requirements for amnestic disorder. The memory symptoms are judged to be the direct
consequence of psychoactive substance use. The intensity and duration of
substance use must be known to be capable of producing memory impairment. The
memory impairment may develop during or soon after substance intoxication or
withdrawal, but its intensity and duration are substantially in excess of those
normally associated with these conditions. The symptoms are not better
accounted for by another disorder or medical condition, as might be the case if
the amnestic symptoms preceded the onset of substance use.
Coding Note: Code aslo the causing condition
6D72.10 Amnestic disorder due to use of alcohol
All definitional requirements for
amnestic disorder are met. The memory symptoms are judged to be the direct
consequence of alcohol use. The intensity and duration of alcohol use must be
known to be capable of producing memory impairment. The memory impairment may
develop during or soon after alcohol intoxication or withdrawal, but its
intensity and duration are substantially in excess of those normally associated
with these conditions. The symptoms are not better accounted for by another
disorder or medical condition, as might be the case if the amnestic symptoms
preceded the onset of the alcohol use.
Coding
Note: This
category should not be used to describe cognitive changes due to thiamine
deficiency associated with chronic alcohol use.
Exclusions:
- Korsakoff syndrome (5B5A.11)
- Wernicke-Korsakoff Syndrome (5B5A.1)
6D72.11 Amnestic disorder due to use of sedatives, hypnotics or anxiolytics
All definitional requirements for
amnestic disorder are met. The memory symptoms are judged to be the direct
consequence of use of sedatives, hypnotics or anxiolytics. The intensity and
duration of use of sedatives, hypnotics or anxiolytics must be known to be
capable of producing memory impairment. The memory impairment may develop
during or soon after sedative, hypnotic or anxiolytic intoxication or
withdrawal, but its intensity and duration are substantially in excess of those
normally associated with these conditions. The symptoms are not better
accounted for by another disorder or medical condition, as might be the case if
the amnestic symptoms preceded the onset of use of sedatives, hypnotics or
anxiolytics.
Coding Note: Code aslo the causing condition
6D72.12 Amnestic disorder due to other specified psychoactive substance including medications
All definitional requirements for amnestic disorder are met. The memory symptoms are judged to be the direct consequence of use of a specified psychoactive substance other than alcohol; sedatives, hypnotics or anxiolytics; or volatile inhalants. The intensity and duration of use of the specified psychoactive substance must be known to be capable of producing memory impairment. The memory impairment may develop during or soon after specified psychoactive substance intoxication or withdrawal, but its intensity and duration are substantially in excess of those normally associated with these conditions. The symptoms are not better accounted for by another disorder or medical condition, as might be the case if the amnestic symptoms preceded the onset of the specified psychoactive substance.
6D72.13 Amnestic disorder due to use of volatile inhalants
All definitional requirements for amnestic disorder are met. The memory symptoms are judged to be the direct consequence of use of volatile inhalants. The intensity and duration of use of volatile inhalants must be known to be capable of producing memory impairment. The memory impairment may develop during or soon after volatile inhalant intoxication or withdrawal, but its intensity and duration are substantially in excess of those normally associated with these conditions. The symptoms are not better accounted for by another disorder or medical condition, as might be the case if the amnestic symptoms preceded the onset of use of volatile inhalants.
6D72.2 Amnestic disorder due to unknown or unspecified aetiological factors
All definitional requirements for amnestic disorder are met. The specific etiology of the disorder is unspecified or cannot be determined.
6D72.Y Amnestic
disorder, other specified cause
6D72.Z Amnestic
disorder, unknown or unspecified cause
REFERENCE:
International Classification of Diseases Eleventh Revision (ICD-11). Geneva: World Health Organization; 2022. License: CC BY-ND 3.0 IGO.
https://creativecommons.org/licenses/by-nc-nd/3.0/igo/
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