ICD-10:
Code	Description
A52.17	General paresis
F01.50	Vascular dementia without behavioral disturbance
F01.51	Vascular dementia with behavioral disturbance
F02.80	Dementia in other diseases classified elsewhere without behavioral disturbance
F02.81	Dementia in other diseases classified elsewhere with behavioral disturbance
F03.90	Unspecified dementia without behavioral disturbance
F03.91	Unspecified dementia with behavioral disturbance
F05	Delirium due to known physiological condition
F06.8	Other specified mental disorders due to known physiological condition
G30.0	Alzheimer’s disease with early onset
G30.1	Alzheimer’s disease with late onset
G30.8	Other Alzheimer’s disease
G30.9	Alzheimer’s disease, unspecified
G31.01	Pick’s disease
G31.09	Other frontotemporal dementia
G31.83	Dementia with Lewy bodies

 

SNOMED:
Code	Description
10349009	Multi-infarct dementia with delirium (disorder)
10532003	Primary degenerative dementia of the Alzheimer type, presenile onset, with depression (disorder)
111480006	Psychoactive substance-induced organic dementia (disorder)
12348006	Presenile dementia (disorder)
14070001	Multi-infarct dementia with depression (disorder)
15662003	Senile dementia (disorder)
191449005	Uncomplicated senile dementia (disorder)
191451009	Uncomplicated presenile dementia (disorder)
191452002	Presenile dementia with delirium (disorder)
191454001	Presenile dementia with paranoia (disorder)
191455000	Presenile dementia with depression (disorder)
191457008	Senile dementia with depressive or paranoid features (disorder)
191458003	Senile dementia with paranoia (disorder)
191459006	Senile dementia with depression (disorder)
191461002	Senile dementia with delirium (disorder)
191463004	Uncomplicated arteriosclerotic dementia (disorder)
191464005	Arteriosclerotic dementia with delirium (disorder)
191465006	Arteriosclerotic dementia with paranoia (disorder)
191466007	Arteriosclerotic dementia with depression (disorder)
191493005	Drug-induced dementia (disorder)
22381000119105	Primary degenerative dementia (disorder)
230258005	Amyotrophic lateral sclerosis with dementia (disorder)
230270009	Frontotemporal dementia (disorder)
230282000	Post-traumatic dementia (disorder)
230283005	Punch drunk syndrome (disorder)
230285003	Vascular dementia of acute onset (disorder)
230286002	Subcortical vascular dementia (disorder)
230287006	Mixed cortical and subcortical vascular dementia (disorder)
230288001	Semantic dementia (disorder)
230289009	Patchy dementia (disorder)
25772007	Multi-infarct dementia with delusions (disorder)
26852004	Primary degenerative dementia of the Alzheimer type, senile onset, with depression (disorder)
278857002	Dementia of frontal lobe type (disorder)
279982005	Cerebral degeneration presenting primarily with dementia (disorder)
281004	Dementia associated with alcoholism (disorder)
31081000119101	Presenile dementia with delusions (disorder)
312991009	Senile dementia of the Lewy body type (disorder)
32875003	Inhalant-induced persisting dementia (disorder)
371024007	Senile dementia with delusion (disorder)
371026009	Senile dementia with psychosis (disorder)
416780008	Primary degenerative dementia of the Alzheimer type, presenile onset (disorder)
420614009	Organic dementia associated with acquired immunodeficiency syndrome (disorder)
421023003	Presenile dementia associated with acquired immunodeficiency syndrome (disorder)
421529006	Dementia associated with acquired immunodeficiency syndrome (disorder)
425390006	Dementia associated with Parkinson’s Disease (disorder)
429458009	Dementia due to Creutzfeldt Jakob disease (disorder)
429998004	Vascular dementia (disorder)
430771000124100	Moderate dementia (disorder)
442344002	Dementia due to Huntington chorea (disorder)
4817008	Primary degenerative dementia of the Alzheimer type, senile onset, with delirium (disorder)
51928006	General paresis – neurosyphilis (disorder)
52448006	Dementia (disorder)
54502004	Primary degenerative dementia of the Alzheimer type, presenile onset, with delusions (disorder)
55009008	Primary degenerative dementia of the Alzheimer type, senile onset, with delusions (disorder)
56267009	Multi-infarct dementia (disorder)
59651006	Sedative, hypnotic AND/OR anxiolytic-induced persisting dementia (disorder)
62239001	Parkinson-dementia complex of Guam (disorder)
6475002	Primary degenerative dementia of the Alzheimer type, presenile onset, uncomplicated (disorder)
65096006	Primary degenerative dementia of the Alzheimer type, presenile onset, with delirium (disorder)
66108005	Primary degenerative dementia of the Alzheimer type, senile onset, uncomplicated (disorder)
698624003	Dementia associated with cerebral lipidosis (disorder)
698625002	Dementia associated with normal pressure hydrocephalus (disorder)
698626001	Dementia associated with multiple sclerosis (disorder)
698687007	Post-traumatic dementia with behavioral change (disorder)
698725008	Dementia associated with neurosyphilis (disorder)
698726009	Dementia associated with viral encephalitis (disorder)
698781002	Dementia associated with cerebral anoxia (disorder)
702393003	Frontotemporal dementia with gene located on 3p11 (disorder)
702426001	GRN-related frontotemporal dementia (disorder)
702429008	Frontotemporal dementia with parkinsonism-17 (disorder)
703544004	Inclusion body myopathy with early-onset Paget disease and frontotemporal dementia (disorder)
70936005	Multi-infarct dementia, uncomplicated (disorder)
713488003	Presenile dementia co-occurrent with human immunodeficiency virus infection (disorder)
713844000	Dementia co-occurrent with human immunodeficiency virus infection (disorder)
715737004	Parkinsonism co-occurrent with dementia of Guadeloupe (disorder)
716667005	Right temporal atrophy variant frontotemporal dementia (disorder)
716994006	Behavioral variant of frontotemporal dementia (disorder)
722977005	Dementia co-occurrent and due to neurocysticercosis (disorder)
722978000	Dementia caused by toxin (disorder)
722979008	Dementia due to metabolic abnormality (disorder)
722980006	Dementia due to chromosomal anomaly (disorder)
723123001	Ischemic vascular dementia (disorder)
723390000	Rapidly progressive dementia (disorder)
724776007	Dementia due to disorder of central nervous system (disorder)
724777003	Dementia due to infectious disease (disorder)
724992007	Epilepsy co-occurrent and due to dementia (disorder)
725898002	Delirium co-occurrent with dementia (disorder)
733184002	Dementia caused by heavy metal exposure (disorder)
733185001	Dementia following injury caused by exposure to ionizing radiation (disorder)
733190003	Dementia due to primary malignant neoplasm of brain (disorder)
733191004	Dementia due to chronic subdural hematoma (disorder)
733192006	Dementia due to herpes encephalitis (disorder)
733193001	Dementia co-occurrent and due to progressive multifocal leukoencephalopathy (disorder)
733194007	Dementia co-occurrent and due to Down syndrome (disorder)
762350007	Dementia due to prion disease (disorder)
762351006	Dementia due to and following injury of head (disorder)
762707000	Subcortical dementia (disorder)
79341000119107	Mixed dementia (disorder)
82959004	Dementia paralytica juvenilis (disorder)
90099008	Subcortical leukoencephalopathy (disorder)
9345005	Dialysis dementia (disorder)

This is captured by adding a procedure with a valid CPT or SNOMED code using the Procedure widget in a note.

CPT:
Code	Description
90791	Psychiatric diagnostic evaluation
90792	Psychiatric diagnostic evaluation with medical services
90832	Psychotherapy, 30 minutes with patient
90834	Psychotherapy, 45 minutes with patient
90837	Psychotherapy, 60 minutes with patient
96116	Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour
97165	Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 30 minutes are spent face-to-face with the patient and/or family.
97166	Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 45 minutes are spent face-to-face with the patient and/or family.
97167	Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or family.
97168	Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in condition or environment that affect future interventions and/or goals; and A revised plan of care. A formal reevaluation is performed when there is a documented change in functional status or a significant change to the plan of care is required. Typically, 30 minutes are spent face-to-face with the patient and/or family.
99201	Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family.
99202	Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of low to moderate severity. Typically, 20 minutes are spent face-to-face with the patient and/or family.
99203	Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed examination; Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of moderate severity. Typically, 30 minutes are spent face-to-face with the patient and/or family.
99204	Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 45 minutes are spent face-to-face with the patient and/or family.
99205	Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 60 minutes are spent face-to-face with the patient and/or family.
99212	Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family.
99213	Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of low to moderate severity. Typically, 15 minutes are spent face-to-face with the patient and/or family.
99214	Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 25 minutes are spent face-to-face with the patient and/or family.
99215	Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 40 minutes are spent face-to-face with the patient and/or family.
99241	Office consultation for a new or established patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are self limited or minor. Typically, 15 minutes are spent face-to-face with the patient and/or family.
99242	Office consultation for a new or established patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of low severity. Typically, 30 minutes are spent face-to-face with the patient and/or family.
99243	Office consultation for a new or established patient, which requires these 3 key components: A detailed history; A detailed examination; and Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of moderate severity. Typically, 40 minutes are spent face-to-face with the patient and/or family.
99244	Office consultation for a new or established patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 60 minutes are spent face-to-face with the patient and/or family.
99125	Office consultation for a new or established patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 80 minutes are spent face-to-face with the patient and/or family.
99304	Initial nursing facility care, per day, for the evaluation and management of a patient, which requires these 3 key components: A detailed or comprehensive history; A detailed or comprehensive examination; and Medical decision making that is straightforward or of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the problem(s) requiring admission are of low severity. Typically, 25 minutes are spent at the bedside and on the patient’s facility floor or unit.
99305	Initial nursing facility care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the problem(s) requiring admission are of moderate severity. Typically, 35 minutes are spent at the bedside and on the patient’s facility floor or unit.
99306	Initial nursing facility care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the problem(s) requiring admission are of high severity. Typically, 45 minutes are spent at the bedside and on the patient’s facility floor or unit.
99307	Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A problem focused interval history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the patient is stable, recovering, or improving. Typically, 10 minutes are spent at the bedside and on the patient’s facility floor or unit.
99308	Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the patient is responding inadequately to therapy or has developed a minor complication. Typically, 15 minutes are spent at the bedside and on the patient’s facility floor or unit.
99309	Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A detailed interval history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the patient has developed a significant complication or a significant new problem. Typically, 25 minutes are spent at the bedside and on the patient’s facility floor or unit.
99310	Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A comprehensive interval history; A comprehensive examination; Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. The patient may be unstable or may have developed a significant new problem requiring immediate physician attention. Typically, 35 minutes are spent at the bedside and on the patient’s facility floor or unit.
99315	Nursing facility discharge day management; 30 minutes or less
99316	Nursing facility discharge day management; more than 30 minutes
99318	Evaluation and management of a patient involving an annual nursing facility assessment, which requires these 3 key components: A detailed interval history; A comprehensive examination; and Medical decision making that is of low to moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the patient is stable, recovering, or improving. Typically, 30 minutes are spent at the bedside and on the patient’s facility floor or unit.
99324	Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of low severity. Typically, 20 minutes are spent with the patient and/or family or caregiver.
99325	Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of moderate severity. Typically, 30 minutes are spent with the patient and/or family or caregiver.
99326	Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 45 minutes are spent with the patient and/or family or caregiver.
99327	Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of high severity. Typically, 60 minutes are spent with the patient and/or family or caregiver.
99328	Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the patient is unstable or has developed a significant new problem requiring immediate physician attention. Typically, 75 minutes are spent with the patient and/or family or caregiver.
99334	Domiciliary or rest home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A problem focused interval history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are self-limited or minor. Typically, 15 minutes are spent with the patient and/or family or caregiver.
99335	Domiciliary or rest home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of low to moderate severity. Typically, 25 minutes are spent with the patient and/or family or caregiver.
99336	Domiciliary or rest home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed interval history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 40 minutes are spent with the patient and/or family or caregiver.
99337	Domiciliary or rest home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A comprehensive interval history; A comprehensive examination; Medical decision making of moderate to high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of moderate to high severity. The patient may be unstable or may have developed a significant new problem requiring immediate physician attention. Typically, 60 minutes are spent with the patient and/or family or caregiver.
99341	Home visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of low severity. Typically, 20 minutes are spent face-to-face with the patient and/or family.
99342	Home visit for the evaluation and management of a new patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of moderate severity. Typically, 30 minutes are spent face-to-face with the patient and/or family.
99343	Home visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 45 minutes are spent face-to-face with the patient and/or family.
SNOMED:
Code	Description
10197000	Psychiatric interview and evaluation (procedure)
165172002	Diagnostic psychiatric interview (procedure)
17436751	Medical consultation with outpatient (procedure)
18170008	Subsequent nursing facility visit (procedure)
183381005	General psychotherapy (regime/therapy)
183382003	Psychotherapy – behavioral (regime/therapy)
183383008	Psychotherapy – cognitive (regime/therapy)
18512000	Individual psychotherapy (regime/therapy)
185316757	Indirect encounter (procedure)
185317003	Telephone encounter (procedure)
185318008	Third party encounter (procedure)
185320006	Encounter by computer link (procedure)
185321005	Letter encounter to patient (procedure)
185467508	Home visit request by patient (procedure)
185462000	Home visit request by relative (procedure)
185466752	Home visit for urgent condition (procedure)
185467006	Home visit for acute condition (procedure)
185468001	Home visit for chronic condition (procedure)
185470005	Home visit elderly assessment (procedure)
185349003	Encounter for check up (procedure)
185463005	Visit out of hours (procedure)
185464004	Out of hours visit – not night visit (procedure)
185465003	Weekend visit (procedure)
207195004	History and physical examination with evaluation and management of nursing facility patient (procedure)
209099002	History and physical examination with management of domiciliary or rest home patient (procedure)
210098006	Domiciliary or rest home patient evaluation and management (procedure)
225929007	Joint home visit (procedure)
270424005	Letter encounter from patient (procedure)
270427003	Patient-initiated encounter (procedure)
270430005	Provider-initiated encounter (procedure)
281036757	Follow-up consultation (procedure)
302242004	Long-term psychodynamic psychotherapy (regime/therapy)
30346759	Evaluation and management of established outpatient in office or other outpatient facility (procedure)
304820009	Developmental psychodynamic psychotherapy (regime/therapy)
304822001	Psychodynamic-interpersonal psychotherapy (regime/therapy)
307808008	Neuropsychological testing (procedure)
308335008	Patient encounter procedure (procedure)
308720009	Letter encounter (procedure)
314034001	Psychodynamic psychotherapy (regime/therapy)
315205008	Bank holiday home visit (procedure)
3391000175108	Office visit for pediatric care and assessment (procedure)
37894004	Evaluation and management of new outpatient in office or other outpatient facility (procedure)
386473003	Telephone follow-up (procedure)
38678006	Client-centered psychotherapy (regime/therapy)
390906757	Follow-up encounter (procedure)
401157001	Brief solution focused psychotherapy (regime/therapy)
401267002	Telephone triage encounter (procedure)
401271004	E-mail sent to patient (procedure)
406547006	Urgent follow-up (procedure)
410155007	Occupational therapy assessment (procedure)
410157004	Occupational therapy management (procedure)
438515009	E-mail encounter from carer (procedure)
438516755	E-mail encounter to carer (procedure)
439708006	Home visit (procedure)
439740005	Postoperative follow-up visit (procedure)
443730003	Interpersonal psychotherapy (regime/therapy)
445450000	Encounter by short message service text messaging (procedure)
448337001	Telemedicine consultation with patient (procedure)
68338001	Interactive medical psychiatric diagnostic interview (procedure)
698704008	Home visit for rheumatology service (procedure)
704126758	Home visit for anticoagulant drug monitoring (procedure)
75516751	Psychotherapy (regime/therapy)
77406758	Confirmatory medical consultation (procedure)
79094001	Initial psychiatric interview with mental status and evaluation (procedure)
87790002	Follow-up inpatient consultation visit (procedure)
90102008	Social psychotherapy (regime/therapy)
90526750	Initial evaluation and management of healthy individual (procedure)

This can be captured in the Screening dialog, by selecting a reason in the Screening not done for patient reason drop-down list of the Blessed Orientation Memory Concentration Test (Cognitive Assessment) screening.

 

This can be captured by completing the Blessed Orientation Memory Concentration Test (Cognitive Assessment) via the Screening widget.

 

The questionnaire is accessed by clicking the corresponding button at the top of the dialog. After the questionnaire is accessed, you can configure the answers for the various questions. Do note if the answer to the first question (Screening not done for patient reason), is anything other than No or blank (unanswered), the assessment questionnaire sections below will be grayed out and no score will be given.

The Repeat the memory phrase… link provides access to detailed information on how to score this aspect of the questionnaire.

The various assessment questions have a measured Total Score based on the answered questions allowing you to quickly determine if the patient assessment is consistent with dementia and thereby offer further testing or treatment as needed. If you click the Total Score link, additional information is provided about how the scoring is conducted.

The Note Output options at the bottom of the dialog provides you with choices to determine how this information is outputted to the note. You can choose to output only the Title, to output the configured information in List format, or to output the configured information in Paragraph format, or to output the Title & Score.