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anosmia, myoclonus (late) Vascular: Stepwise decline, focal neurological deficits, history of stroke/TIA/hypertension Lewy body: Fluctuating cognition, visual hallucinations, parkinsonism, REM sleep behavior disorder (core features) FTD/Pick’s: Personality change, disinhibition, hyperorality, semantic/syntactic language loss Parkinson’s dementia: Motor features precede cognitive decline by ≥1 year When documentation mentions agitation, combativeness, hallucinations, paranoid ideation, depression, anxiety, wandering, or sundowning in a patient with dementia — without a 6th-character behavioral disturbance code — a clarification query should be initiated
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