Category · FY2027
F02 Dementia in other diseases classified elsewhere
- Header · not billable
F02 is not billable. The category heads 24 billable codes in FY2027, grouped under 4 subdivisions.
Index → code
- Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)›in (due to)›diseases specified elsewhere (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety) → F02.80
- Disorder (of)›neurocognitive›major›in (due to) (other diseases classified elsewhere) → F02.80
- Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)›in (due to)›diseases specified elsewhere (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)›mild → F02.A0
Where it sits
- Chapter 5 Mental, Behavioral and Neurodevelopmental disorders (F01-F99)
- F01-F09 Mental disorders due to known physiological conditions (F01-F09)
- F02 Dementia in other diseases classified elsewhere
- Billable codes
- 24
- Subdivisions
- 4
- CC / MCC codes
- 20 / 0
- HCC V28 codes
- 24
- New FY2027
- 0
- Index entries
- 85
Codes in F02
- F02.8Dementia in other diseases classified elsewhere, unspecified severityHeader
- F02.80Dementia in other diseases classified elsewhere, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety 1 billable codeBillable127
- F02.81Dementia in other diseases classified elsewhere, unspecified severity, with behavioral disturbanceHeader
- F02.811Dementia in other diseases classified elsewhere, unspecified severity, with agitationBillableCC127
Inclusion terms 4
Inclusion terms
- Dementia in other diseases classified elsewhere, unspecified severity, with aberrant motor behavior such as restlessness, rocking, pacing, or exit-seeking
- Dementia in other diseases classified elsewhere, unspecified severity, with verbal or physical behaviors such as profanity, shouting, threatening, anger, aggression, combativeness, or violence
- Major neurocognitive disorder in other diseases classified elsewhere, unspecified severity, with aberrant motor behavior such as restlessness, rocking, pacing, or exit-seeking
- Major neurocognitive disorder in other diseases classified elsewhere, unspecified severity, with verbal or physical behaviors such as profanity, shouting, threatening, anger, aggression, combativeness, or violence
- F02.818Dementia in other diseases classified elsewhere, unspecified severity, with other behavioral disturbanceBillableCC127
Inclusion terms 2, Use additional code 1
Inclusion terms
- Dementia in other diseases classified elsewhere with sleep disturbance, social disinhibition, or sexual disinhibition
- Major neurocognitive disorder in other diseases classified elsewhere with sleep disturbance, social disinhibition, or sexual disinhibition
Use additional code
- code, if applicable, to identify wandering in dementia in conditions classified elsewhere (Z91.83) Z91.83
- F02.82Dementia in other diseases classified elsewhere, unspecified severity, with psychotic disturbanceBillableCC127
Inclusion terms 2
Inclusion terms
- Dementia in other diseases classified elsewhere, unspecified severity, with psychotic disturbance such as hallucinations, paranoia, suspiciousness, or delusional state
- Major neurocognitive disorder in other diseases classified elsewhere, unspecified, with psychotic disturbance such as hallucinations, paranoia, suspiciousness, or delusional state
- F02.83Dementia in other diseases classified elsewhere, unspecified severity, with mood disturbanceBillableCC127
Inclusion terms 2
Inclusion terms
- Dementia in other diseases classified elsewhere, unspecified severity, with mood disturbance such as depression, apathy, or anhedonia
- Major neurocognitive disorder in other diseases classified elsewhere unspecified severity, with mood disturbance such as with depression, apathy, or anhedonia
- F02.84Dementia in other diseases classified elsewhere, unspecified severity, with anxietyBillableCC127
Inclusion terms 1
Inclusion terms
- Major neurocognitive disorder in other diseases classified elsewhere unspecified severity, with anxiety
- F02.ADementia in other diseases classified elsewhere, mildHeader
Excludes1 1
Excludes1
- mild neurocognitive disorder due to known physiological condition with or without behavioral disturbance (F06.7-) F06.7
- F02.A0Dementia in other diseases classified elsewhere, mild, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxietyBillable127
Inclusion terms 2
Inclusion terms
- Dementia in other diseases classified elsewhere, mild, NOS
- Major neurocognitive disorder in other diseases classified elsewhere, mild, NOS
- F02.A1Dementia in other diseases classified elsewhere, mild, with behavioral disturbanceHeader
- F02.A11Dementia in other diseases classified elsewhere, mild, with agitationBillableCC127
Inclusion terms 4
Inclusion terms
- Dementia in other diseases classified elsewhere, mild, with aberrant motor behavior such as restlessness, rocking, pacing, or exit-seeking
- Dementia in other diseases classified elsewhere, mild, with verbal or physical behaviors such as profanity, shouting, threatening, anger, aggression, combativeness, or violence
- Major neurocognitive disorder in other diseases classified elsewhere, mild, with aberrant motor behavior such as restlessness, rocking, pacing, or exit-seeking
- Major neurocognitive disorder in other diseases classified elsewhere, mild, with verbal or physical behaviors such as profanity, shouting, threatening, anger, aggression, combativeness, or violence
- F02.A18Dementia in other diseases classified elsewhere, mild, with other behavioral disturbanceBillableCC127
Inclusion terms 2, Use additional code 1
Inclusion terms
- Dementia in other diseases classified elsewhere, mild, with behavioral disturbances such as sleep disturbance, social disinhibition, or sexual disinhibition
- Major neurocognitive disorder in other diseases classified elsewhere, mild, with behavioral disturbances such as sleep disturbance, social disinhibition, or sexual disinhibition
Use additional code
- code, if applicable, to identify wandering in dementia in conditions classified elsewhere (Z91.83) Z91.83
- F02.A2Dementia in other diseases classified elsewhere, mild, with psychotic disturbanceBillableCC127
Inclusion terms 2
Inclusion terms
- Dementia in other diseases classified elsewhere, mild, with psychotic disturbance such as hallucinations, paranoia, suspiciousness, or delusional state
- Major neurocognitive disorder in other diseases classified elsewhere, mild, with psychotic disturbance such as hallucinations, paranoia, suspiciousness, or delusional state
- F02.A3Dementia in other diseases classified elsewhere, mild, with mood disturbanceBillableCC127
Inclusion terms 2
Inclusion terms
- Dementia in other diseases classified elsewhere, mild, with mood disturbance such as depression, apathy, or anhedonia
- Major neurocognitive disorder in other diseases classified elsewhere, mild, with mood disturbance such as depression, apathy, or anhedonia
- F02.A4Dementia in other diseases classified elsewhere, mild, with anxietyBillableCC127
Inclusion terms 1
Inclusion terms
- Major neurocognitive disorder in other diseases classified elsewhere, mild, with anxiety
- F02.BDementia in other diseases classified elsewhere, moderateHeader
- F02.B0Dementia in other diseases classified elsewhere, moderate, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxietyBillable126
Inclusion terms 2
Inclusion terms
- Dementia in other diseases classified elsewhere, moderate, NOS
- Major neurocognitive disorder in other diseases classified elsewhere, moderate, NOS
- F02.B1Dementia in other diseases classified elsewhere, moderate, with behavioral disturbanceHeader
- F02.B11Dementia in other diseases classified elsewhere, moderate, with agitationBillableCC126
Inclusion terms 4
Inclusion terms
- Dementia in other diseases classified elsewhere, moderate, with aberrant motor behavior such as restlessness, rocking, pacing, or exit-seeking
- Dementia in other diseases classified elsewhere, moderate, with verbal or physical behaviors such as profanity, shouting, threatening, anger, aggression, combativeness, or violence
- Major neurocognitive disorder in other diseases classified elsewhere, moderate, with aberrant motor behavior such as restlessness, rocking, pacing, or exit-seeking
- Major neurocognitive disorder in other diseases classified elsewhere, moderate, with verbal or physical behaviors such as profanity, shouting, threatening, anger, aggression, combativeness, or violence
- F02.B18Dementia in other diseases classified elsewhere, moderate, with other behavioral disturbanceBillableCC126
Inclusion terms 2, Use additional code 1
Inclusion terms
- Dementia in other diseases classified elsewhere, moderate, with behavioral disturbances such as sleep disturbance, social disinhibition, or sexual disinhibition
- Major neurocognitive disorder in other diseases classified elsewhere, moderate, with behavioral disturbance such as sleep disturbance, social disinhibition, or sexual disinhibition
Use additional code
- code, if applicable, to identify wandering in dementia in conditions classified elsewhere (Z91.83) Z91.83
- F02.B2Dementia in other diseases classified elsewhere, moderate, with psychotic disturbanceBillableCC126
Inclusion terms 2
Inclusion terms
- Dementia in other diseases classified elsewhere, moderate, with psychotic disturbance such as hallucinations, paranoia, suspiciousness, or delusional state
- Major neurocognitive disorder in other diseases classified elsewhere, moderate, with psychotic disturbance such as hallucinations, paranoia, suspiciousness, or delusional state
- F02.B3Dementia in other diseases classified elsewhere, moderate, with mood disturbanceBillableCC126
Inclusion terms 2
Inclusion terms
- Dementia in other diseases classified elsewhere, moderate, with mood disturbance such as depression, apathy, or anhedonia
- Major neurocognitive disorder in other diseases classified elsewhere, moderate, with mood disturbance such as depression, apathy, or anhedonia
- F02.B4Dementia in other diseases classified elsewhere, moderate, with anxietyBillableCC126
Inclusion terms 1
Inclusion terms
- Major neurocognitive disorder in other diseases classified elsewhere, moderate, with anxiety
- F02.CDementia in other diseases classified elsewhere, severeHeader
- F02.C0Dementia in other diseases classified elsewhere, severe, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxietyBillable125
Inclusion terms 2
Inclusion terms
- Dementia in other diseases classified elsewhere, severe, NOS
- Major neurocognitive disorder in other diseases classified elsewhere, severe, NOS
- F02.C1Dementia in other diseases classified elsewhere, severe, with behavioral disturbanceHeader
- F02.C11Dementia in other diseases classified elsewhere, severe, with agitationBillableCC125
Inclusion terms 4
Inclusion terms
- Dementia in other diseases classified elsewhere, severe, with aberrant motor behavior such as restlessness, rocking, pacing, or exit-seeking
- Dementia in other diseases classified elsewhere, severe, with verbal or physical behaviors such as profanity, shouting, threatening, anger, aggression, combativeness, or violence
- Major neurocognitive disorder in other diseases classified elsewhere, severe, with aberrant motor behavior such as restlessness, rocking, pacing, or exit-seeking
- Major neurocognitive disorder in other diseases classified elsewhere, severe, with verbal or physical behaviors such as profanity, shouting, threatening, anger, aggression, combativeness, or violence
- F02.C18Dementia in other diseases classified elsewhere, severe, with other behavioral disturbanceBillableCC125
Inclusion terms 2, Use additional code 1
Inclusion terms
- Dementia in other diseases classified elsewhere, severe, with behavioral disturbances such as sleep disturbance, social disinhibition, or sexual disinhibition
- Major neurocognitive disorder in other diseases classified elsewhere, severe, with behavioral disturbances such as sleep disturbance, social disinhibition, or sexual disinhibition
Use additional code
- code, if applicable, to identify wandering in dementia in conditions classified elsewhere (Z91.83) Z91.83
- F02.C2Dementia in other diseases classified elsewhere, severe, with psychotic disturbanceBillableCC125
Inclusion terms 2
Inclusion terms
- Dementia in other diseases classified elsewhere, severe, with psychotic disturbance such as hallucinations, paranoia, suspiciousness, or delusional state
- Major neurocognitive disorder in other diseases classified elsewhere, severe, with psychotic disturbance such as hallucinations, paranoia, suspiciousness, or delusional state
- F02.C3Dementia in other diseases classified elsewhere, severe, with mood disturbanceBillableCC125
Inclusion terms 2
Inclusion terms
- Dementia in other diseases classified elsewhere, severe, with mood disturbance such as depression, apathy, or anhedonia
- Major neurocognitive disorder in other diseases classified elsewhere, severe, with mood disturbance such as depression, apathy, or anhedonia
- F02.C4Dementia in other diseases classified elsewhere, severe, with anxietyBillableCC125
Inclusion terms 1
Inclusion terms
- Major neurocognitive disorder in other diseases classified elsewhere, severe, with anxiety
CC/MCC: as a secondary diagnosis, unless the principal diagnosis is on the code’s PDX exclusion list (MS-DRG v44 Appendix C; list on the code card).
Instructions
At F02
Includes
- Major neurocognitive disorder in other diseases classified elsewhere
Excludes1
- mild neurocognitive disorder due to known physiological condition with or without behavioral disturbance (F06.7-) F06.7
Excludes2
Code first
- the underlying physiological condition, such as:
- Alzheimer's (G30.-) G30
- cerebral lipidosis (E75.4) E75.4
- Creutzfeldt-Jakob disease (A81.0-) A81.0
- epilepsy and recurrent seizures (G40.-) G40
- hepatolenticular degeneration (E83.01) E83.01
- human immunodeficiency virus [HIV] disease (B20) B20
- Huntington's disease (G10) G10
- hypercalcemia (E83.52) E83.52
- hypothyroidism, acquired (E00-E03.-) E00 E03
- intoxications (T36-T65) T36 T65
- Jakob-Creutzfeldt disease (A81.0-) A81.0
- multiple sclerosis (G35-) G35
- neurocognitive disorder with Lewy bodies (G31.83) G31.83
- neurosyphilis (A52.17) A52.17
- niacin deficiency [pellagra] (E52) E52
- other frontotemporal neurocognitive disorder (G31.09) G31.09
- Parkinson's disease (G20.-) G20
- Pick's disease (G31.01) G31.01
- polyarteritis nodosa (M30.0) M30.0
- prion disease (A81.9) A81.9
- systemic lupus erythematosus (M32.-) M32
- traumatic brain injury (S06.-) S06
- trypanosomiasis (B56.-, B57.-) B56 B57
- vitamin B deficiency (E53.8) E53.8
Notes that also apply
Block F01-F09 instructions (Notes 1): printed on the block page.
Chapter 5 instructions (Includes 1, Excludes2 1): printed on the chapter 5 page.
Index entries
- Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)›paralytica, paralytic (syphilitic)›with behavioral disturbance → A52.17 [F02.81-]
- Huntington's disease or chorea›with dementia›with behavioral disturbance → G10 [F02.81-]
- Parkinsonism (idiopathic) (primary)›dementia›with behavioral disturbance → G20.C [F02.81-]
- Disease, diseased›Alzheimer's›with behavioral disturbance → G30.9 [F02.81-]
- Aphasia (amnestic) (global) (nominal) (semantic) (syntactic)›primary progressive›with behavioral disturbance → G31.01 [F02.81-]
- Aphasia (amnestic) (global) (nominal) (semantic) (syntactic)›progressive isolated›with behavioral disturbance → G31.01 [F02.81-]
- Disease, diseased›Pick's›with behavioral disturbance → G31.01 [F02.81-]
- Pick's›cerebral atrophy›with behavioral disturbance → G31.01 [F02.81-]
- Pick's›disease or syndrome (brain)›with behavioral disturbance → G31.01 [F02.81-]
- Atrophy, atrophic (of)›sclerosis, lobar (of brain)›with behavioral disturbance → G31.09 [F02.81-]
- Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)›frontal (lobe)›with behavioral disturbance → G31.09 [F02.81-]
- Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)›frontotemporal›with behavioral disturbance → G31.09 [F02.81]
- Disorder (of)›neurocognitive›frontotemporal, specified NEC → G31.09 [F02.-]
- Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)›Lewy body›with behavioral disturbance → G31.83 [F02.81-]
- Disease, diseased›Lewy body (dementia)›with behavioral disturbance → G31.83 [F02.81-]
- Disorder (of)›neurocognitive›with Lewy bodies → G31.83 [F02.-]
- Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)›in (due to)›neurosyphilis›with behavioral disturbance → A52.17 [F02.81-]
- Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)›in (due to)›human immunodeficiency virus (HIV) disease›with behavioral disturbance → B20 [F02.81-]
- Human›immunodeficiency virus (HIV) disease (infection)›dementia›with behavioral disturbance → B20 [F02.81-]
- Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)›in (due to)›hypothyroidism, acquired›with behavioral disturbance → E03.9 [F02.81-]
- Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)›in (due to)›niacin deficiency›with behavioral disturbance → E52 [F02.81-]
- Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)›in (due to)›pellagra›with behavioral disturbance → E52 [F02.81-]
- Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)›in (due to)›vitamin B12 deficiency›with behavioral disturbance → E53.8 [F02.81-]
- Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)›in (due to)›cerebral lipidoses›with behavioral disturbance → E75.- [F02.81-]
- Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)›in (due to)›hepatolenticular degeneration›with behavioral disturbance → E83.01 [F02.81-]
- Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)›in (due to)›hypercalcemia›with behavioral disturbance → E83.52 [F02.81-]
- Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)›in (due to)›diseases specified elsewhere (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)›mild → F02.A0
- Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)›in (due to)›diseases specified elsewhere (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)›moderate → F02.B0
- Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)›in (due to)›diseases specified elsewhere (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)›severe → F02.C0
- Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)›in (due to)›Huntington's disease or chorea›with behavioral disturbance → G10 [F02.81-]
- Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)›with›Parkinson's disease›with behavioral disturbance → G20.A1 [F02.81-]
- Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)›with›Parkinsonism›with behavioral disturbance → G20.C [F02.81-]
- Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)›in (due to)›paralysis agitans›with behavioral disturbance → G20.C [F02.81-]
- Disease, diseased›Alzheimer's›early onset›with behavioral disturbance → G30.0 [F02.81-]
- Disease, diseased›Alzheimer's›late onset›with behavioral disturbance → G30.1 [F02.81-]
- Disease, diseased›Alzheimer's›specified NEC›with behavioral disturbance → G30.8 [F02.81-]
- Atrophy, atrophic (of)›brain (cortex) (progressive)›frontotemporal circumscribed›with behavioral disturbance → G31.01 [F02.81-]
- Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)›in (due to)›Pick's›with behavioral disturbance → G31.01 [F02.81-]
- Disease, diseased›Pick's›brain›with behavioral disturbance → G31.01 [F02.81-]
- Pick's›disease or syndrome (brain)›brain›with behavioral disturbance → G31.01 [F02.81-]
45 more, longer entries are not listed; the search box finds them by word.
NCHS Alphabetic Index. Index first, then the Tabular List.