ICD-11 Criteria for Dementia due to Alzheimer Disease (6D80)
Dementia due to Alzheimer disease
is the most common form of dementia. Onset is insidious with memory impairment
typically reported as the initial presenting complaint. The characteristic
course is a slow but steady decline from a previous level of cognitive
functioning with impairment in additional cognitive domains (such as executive
functions, attention, language, social cognition and judgment, psychomotor speed,
visuoperceptual or visuospatial abilities) emerging with disease progression.
Dementia due to Alzheimer disease may be accompanied by mental and behavioural
symptoms such as depressed mood and apathy in the initial stages of the disease
and may be accompanied by psychotic symptoms, irritability, aggression,
confusion, abnormalities of gait and mobility, and seizures at later stages.
Positive genetic testing, family history and gradual cognitive decline are
suggestive of Dementia due to Alzheimer disease.
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.
6D80.0 Dementia due to Alzheimer disease with early onset
Dementia due to Alzheimer disease
in which symptoms emerge before the age of 65 years. It is relatively rare,
representing less than 5% of all cases, and may be genetically determined
(autosomal dominant Alzheimer disease). Clinical presentation may be similar to
cases with later onset, but progression of cognitive deficits may be more
rapid.
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.
6D80.1 Dementia due to Alzheimer disease with late onset
Dementia due to Alzheimer disease
that develops at the age of 65 years or above. This is the most common pattern,
representing more than 95% of all cases.
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.
6D80.2 Alzheimer disease dementia, mixed type, with cerebrovascular disease
Dementia due to Alzheimer disease
and concomitant cerebrovascular disease.
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.
6D80.3 Alzheimer disease dementia, mixed type, with other nonvascular aetiologies
Dementia due to Alzheimer disease
with other concomitant pathology, not including cerebrovascular disease.
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.
6D80.Z Dementia due to Alzheimer disease, onset unknown or unspecified
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.
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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