Major or Mild Neurocognitive Disorder Due to Multiple Etiologies

Diagnostic Criteria
A. The criteria are met for major or mild neurocognitive disorder.
B. There is evidence from the history, physical examination, or laboratory findings that the
neurocognitive disorder is the pathophysiological consequence of more than one
etiological process, excluding substances (e.g., neurocognitive disorder due to
Alzheimer’s disease with subsequent development of vascular neurocognitive disorder).
Note: Please refer to the diagnostic criteria for the various neurocognitive disorders due
to specific medical conditions for guidance on establishing the particular etiologies.
C. The cognitive deficits are not better explained by another mental disorder and do not
occur exclusively during the course of a delirium.
Coding note: For major neurocognitive disorder due to multiple etiologies, with behavioral
disturbance, code 294.11 (F02.81); for major neurocognitive disorder due to multiple
etiologies, without behavioral disturbance, code 294.10 (F02.80). All of the etiological
medical conditions (with the exception of vascular disease) should be coded and listed
separately immediately before major neurocognitive disorder due to multiple etiologies (e.g.,
331.0 [G30.9] Alzheimer’s disease; 331.82 [G31.83] Lewy body disease; 294.11 [F02.81]
major neurocognitive disorder due to multiple etiologies, with behavioral disturbance).
When a cerebrovascular etiology is contributing to the neurocognitive disorder, the diagnosis
of vascular neurocognitive disorder should be listed in addition to major neurocognitive
disorder due to multiple etiologies. For example, for a presentation of major neurocognitive
disorder due to both Alzheimer’s disease and vascular disease, with behavioral disturbance,
code the following: 331.0 (G30.9) Alzheimer’s disease; 294.11 (F02.81) major
neurocognitive disorder due to multiple etiologies, with behavioral disturbance; 290.40
(FOI .51) major vascular neurocognitive disorder, with behavioral disturbance.
For mild neurocognitive disorder due to multiple etiologies, code 331.83 (G31.84). (Note: Do
not use the additional codes for the etiologies. Behavioral disturbance cannot be coded but
should still be indicated in writing.)
This category is included to cover the clinical presentation of a neurocognitive disorder
(NCD) for which there is evidence that multiple medical conditions have played a probable
role in the development of the NCD. In addition to evidence indicative of the presence of
multiple medical conditions that are known to cause NCD (i.e., findings from the history and
physical examination, and laboratory findings), it may be helpful to refer to the diagnostic
criteria and text for the various medical etiologies (e.g., NCD due to Parkinson's disease) for
more information on establishing the etiological connection for that particular medical
condition.
 Gangguan Neurokognitif Mayor atau Minor Akibat Beragam Etiologi
Kriteria Diagnostik
A. Kriteria memenuhi untuk gangguan neurokognitif mayor atau minor.
B. Ada bukti dari anamnesis riwayat penyakit, pemeriksaan fisik, atau pemeriksaan
penunjang bahwa gangguan neurokognitif merupakan konsekuensi patofisiologis dari
lebih dari satu proses etiologis, tidak termasuk kategori (mis., Gangguan neurokognitif
karena penyakit Alzheimer dengan perkembangan selanjutnya dari gangguan
neurokognitif vaskuler).
Catatan: Silakan merujuk pada kriteria diagnostik untuk berbagai gangguan neurokognitif
akibat kondisi medis tertentu untuk panduan dalam menetapkan etiologi tertentu.
C. Defisit kognitif tidak dapat dijelaskan dengan kriteria gangguan mental lain dan tidak
hanya terjadi secara eksklusif selama delirium.
Catatan pengkodean: Untuk gangguan neurokognitif mayor akibat beragam etiologi, dengan
gangguan perilaku, kode 294.11 (F02.81); untuk gangguan neurokognitif mayor karena
beragam etiologi, tanpa gangguan perilaku, kode 294.10 (F02.80). Semua kondisi etiologi
medis (dengan pengecualian penyakit pembuluh darah) harus dikodekan dan didaftar secara
terpisah segera sebelum gangguan neurokognitif mayor akibat beberapa etiologi (misalnya,
331,0 [G30.9] penyakit Alzheimer; 331,82 [G31.83] Penyakit Lewy body) ; 294,11 [F02.81]
gangguan neurokognitif mayor karena beragam etiologi, dengan gangguan perilaku).
Ketika etiologi serebrovaskular berkontribusi terhadap gangguan neurokognitif, diagnosis
gangguan neurokognitif vaskular harus didaftar sebagai tambahan pada gangguan
neurokognitif mayor akibat beragam etiologi. Misalnya, untuk presentasi gangguan
neurokognitif mayor akibat penyakit Alzheimer dan penyakit pembuluh darah, dengan
gangguan perilaku, kode berikut ini: 331.0 (G30.9) Penyakit Alzheimer; 294.11 (F02.81)
gangguan neurokognitif mayor akibat beragam etiologi, dengan gangguan perilaku; 290.40
(FOI .51) gangguan neurokognitif vaskular mayor, dengan gangguan perilaku.
Untuk gangguan neurokognitif ringan karena beragam etiologi, kode 331.83 (G31.84).
(Catatan: Jangan gunakan kode tambahan untuk etiologi. Gangguan perilaku tidak dapat
dikodekan tetapi harus tetap ditunjukkan secara tertulis.)
Kategori ini mencakup presentasi klinis gangguan neurokognitif (NCD) ketik ada bukti
bahwa berbagai kondisi medis berperan dalam pengembangan NCD. Selain untuk
membuktikan adanya beragam kondisi medis yang diketahui menyebabkan NCD (mis.,
temuan dari riwayat dan pemeriksaan fisik, dan pemeriksaan penunjang), kategori ini
bermanfaat untuk merujuk pada kriteria diagnostik dan berbagai etiologi medis (mis., NCD
akibat penyakit Parkinson) untuk informasi lebih lanjut dalam menghubungkan etiologi
untuk kondisi medis tertentu.