Find information on Memory Loss Unspecified, including clinical documentation tips, ICD-10 code R41.3, and DSM-5 diagnostic criteria. Learn about differential diagnosis, cognitive assessment, and memory loss treatment options. This resource provides guidance for healthcare professionals on properly documenting and coding unspecified memory impairment for accurate medical records and billing. Explore the causes of memory decline, cognitive testing procedures, and available support resources for patients experiencing memory problems.
Also known as
Unspecified amnesia
Memory loss with unspecified cause or type.
Organic, including symptomatic, mental disorders
Mental disorders due to brain damage or disease, sometimes including memory loss.
Other symbolic dysfunctions
Covers other cognitive problems which may be associated with memory impairment.
Other degenerative diseases of nervous system
Conditions like Alzheimer's can cause memory loss as a key symptom.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the memory loss transient?
Yes
Related to drug use?
No
Dementia documented?
Patient presents with subjective complaints of memory loss, unspecified. The onset and duration of symptoms are unclear. Patient reports difficulty recalling recent events and information, impacting daily activities. The patient denies specific triggers or associated symptoms such as head trauma, fever, or substance use. Family members corroborate the reported memory decline, noting increasing forgetfulness and difficulty with word retrieval. Objective cognitive assessment reveals mild impairment in short-term memory recall. Long-term memory appears relatively intact. No significant neurological deficits were observed on physical examination. Differential diagnoses include age-related cognitive decline, mild cognitive impairment, and other potential medical or psychological conditions. Further evaluation is warranted to determine the etiology of the memory loss. A comprehensive metabolic panel, complete blood count, thyroid function tests, and vitamin B12 levels have been ordered. Neuropsychological testing is recommended to assess cognitive function in greater detail. Current plan includes close monitoring of symptoms, patient education regarding memory strategies, and follow-up appointment scheduled in four weeks to review laboratory results and discuss further management based on neuropsychological testing outcomes. ICD-10 code R41.3, unspecified memory loss, is assigned. Keywords: memory loss, memory problems, forgetfulness, cognitive decline, cognitive impairment, memory testing, neuropsychological evaluation, R41.3, ICD-10, diagnosis, treatment, medical billing, medical coding, EHR documentation.