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Vascular Dementia F067

Document
Last amended 
6 April 2016
Current RMA Instruments:
Reasonable Hypothesis SOP78 of 2014
Balance of Probabilities SOP79 of 2014
Changes from Previous Instruments:

SOP Bulletin 177

ICD Coding:
  • ICD-9-CM Codes: 290.12, 290.4, 290.40-290.43
  • ICD-10-AM Codes: F01

The diagnosis of vascular dementia normally requires neuroimaging (CT or MRI scan) showing brain damage due to impaired blood flow, the presence of dementia, and a clinical judgment that the dementia is attributable to the brain damage from the impaired blood flow and not to some other cause.

Is specific diagnostic evidence required to apply the SOP?No.

This diagnosis is complex.  The appropriate specialist is a neurologist.  Brain imaging is necessary for diagnosis and neuropsychological study may be required.

Are there sub-factors that require specific information? – No.
Additional diagnoses covered by the SOP
  • Acquired diffuse white matter disease (Binswanger's disease)
  • Major vascular cognitive disorder
  • Multi-infarct dementi
  • Strategic infarct dementia
  • Subcortical vascular dementia
Conditions not covered by SOP
  • Alzheimer-type dementia, ICD code 331.0
  • Dementia pugilistica, ICD code 294.1
  • Inherited diffuse white matter disease
  • Mitochondrial disorders
  • Mild neurocognitive disorder (without dementia)
Unconfirmed diagnosis

If, after applying the above information, you are unable to confirm the diagnosis, you should then seek medical officer advice about further investigation.