ICD-11 Criteria for Behavioural or Psychological Disturbances in Dementia (6D86)

In addition to the cognitive disturbances characteristic of dementia, the current clinical picture includes clinically significant behavioural or psychological disturbances.

Coding Note: These categories should never be used in primary tabulation. The codes are provided for use as supplementary or additional codes when it is desired to identify the presence of behavioural or psychological disturbance in dementia.

Code all that apply.

Exclusions:

Secondary mental or behavioural syndromes associated with disorders or diseases classified elsewhere (BlockL1‑6E6)

6D86.0 Psychotic Symptoms in Dementia

In addition to the cognitive disturbances characteristic of dementia, the current clinical picture includes clinically significant delusions or hallucinations.

Exclusions:

Schizophrenia or other primary psychotic disorders (BlockL1‑6A2)
Secondary psychotic syndrome (6E61)

6D86.1 Mood Symptoms in Dementia

In addition to the cognitive disturbances characteristic of dementia, the current clinical picture includes clinically significant mood symptoms such as depressed mood, elevated mood, or irritable mood.

Exclusions:

Mood disorders (BlockL1‑6A6)
Secondary mood syndrome (6E62)

6D86.2 Anxiety symptoms in dementia

In addition to the cognitive disturbances characteristic of dementia, the current clinical picture includes clinically significant symptoms of anxiety or worry.

Exclusions:

Anxiety or fear-related disorders (BlockL1‑6B0)
Secondary anxiety syndrome (6E63)

6D86.3 Apathy in Dementia

In addition to the cognitive disturbances characteristic of dementia, the current clinical picture includes clinically significant indifference or lack of interest.

Exclusions:

Mood disorders (BlockL1‑6A6)
Secondary mood syndrome (6E62)

6D86.4 Agitation or Aggression in Dementia

In addition to the cognitive disturbances characteristic of dementia, the current clinical picture includes: 1) clinically significant excessive psychomotor activity accompanied by increased tension; or 2) hostile or violent behaviour.

6D86.5 Disinhibition in Dementia

In addition to the cognitive disturbances characteristic of dementia, the current clinical picture includes clinically significant lack of restraint manifested in disregard for social conventions, impulsivity, and poor risk assessment.

6D86.6 Wandering in Dementia

In addition to the cognitive disturbances characteristic of dementia, the current clinical picture includes clinically significant wandering that puts the person at risk of harm.

6D86.Y Other Specified Behavioural or Psychological Disturbances in Dementia

Coding Note: These categories should never be used in primary tabulation. The codes are provided for use as supplementary or additional codes when it is desired to identify the presence of behavioural or psychological disturbance in dementia.

Code all that apply.

6D86.Z Behavioural or Psychological Disturbances in Dementia, Unspecified

Code all that apply.

6D8Y Dementia, other Specified Cause

Coding Note: This category should never be used in primary tabulation. The codes are provided for use as supplementary or additional codes when it is desired to identify the presence of dementia in diseases classified elsewhere.

When dementia is due to multiple aetiologies, code all that apply.

6D8Z Dementia, Unknown or Unspecified cause

When dementia is due to multiple aetiologies, code all that apply.

6E0Y Other specified Neurocognitive Disorders
6E0Z Neurocognitive Disorders, Unspecified

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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