Category · FY2027
F03 Unspecified dementia
- Header · not billable
F03 is not billable. The category heads 24 billable codes in FY2027, grouped under 4 subdivisions.
ICD-10 code by name
- What is the ICD-10 code for dementia?
- Dementia ICD-10 code: F03.90 Unspecified dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety. Alphabetic Index: Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety) → F03.90. Search ICD-10 for dementia
- What is the ICD-10 code for dementia with behavioral disturbance?
- Dementia with behavioral disturbance ICD-10 code: F03.918 Unspecified dementia, unspecified severity, with other behavioral disturbance. Alphabetic Index: Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)›with›behavioral disturbances (sexual disinhibition) (sleep disturbance) (social disinhibition) → F03.918. Search ICD-10 for dementia with behavioral disturbance
- What is the ICD-10 code for mild dementia?
- Mild dementia ICD-10 code: F03.A0 Unspecified dementia, mild, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety. Alphabetic Index: Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)›mild → F03.A0. Search ICD-10 for mild dementia
- What is the ICD-10 code for dementia with agitation?
- Dementia with agitation ICD-10 code: F03.911 Unspecified dementia, unspecified severity, with agitation. Alphabetic Index: Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)›with›agitation → F03.911. Search ICD-10 for dementia with agitation
- What is the ICD-10 code for moderate dementia?
- Moderate dementia ICD-10 code: F03.B0 Unspecified dementia, moderate, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety. Alphabetic Index: Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)›moderate → F03.B0. Search ICD-10 for moderate dementia
- What is the ICD-10 code for severe dementia?
- Severe dementia ICD-10 code: F03.C0 Unspecified dementia, severe, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety. Alphabetic Index: Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)›severe → F03.C0. Search ICD-10 for severe dementia
- What is the ICD-10 code for dementia with anxiety?
- Dementia with anxiety ICD-10 code: F03.94 Unspecified dementia, unspecified severity, with anxiety. Alphabetic Index: Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)›with›anxiety → F03.94. Search ICD-10 for dementia with anxiety
Where it sits
- Billable codes
- 24
- Subdivisions
- 4
- CC / MCC codes
- 20 / 0
- HCC V28 codes
- 24
- New FY2027
- 0
- Index entries
- 68
Codes in F03
- F03.9Unspecified dementia, unspecified severityHeader
- F03.90Unspecified dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety 1 billable codeBillable127
- F03.91Unspecified dementia, unspecified severity, with behavioral disturbanceHeader
- F03.911Unspecified dementia, unspecified severity, with agitationBillableCC127
Inclusion terms 2
Inclusion terms
- Unspecified dementia, unspecified severity, with aberrant motor behavior such as restlessness, rocking, pacing, or exit-seeking
- Unspecified dementia, unspecified severity, with verbal or physical behaviors such as profanity, shouting, threatening, anger, aggression, combativeness, or violence
- F03.918Unspecified dementia, unspecified severity, with other behavioral disturbanceBillableCC127
Inclusion terms 1, Use additional code 1
Inclusion terms
- Unspecified dementia, unspecified severity, with behavioral disturbances such as sleep disturbance, social disinhibition, or sexual disinhibition
Use additional code
- code, if applicable, to identify wandering in unspecified dementia (Z91.83) Z91.83
- F03.92Unspecified dementia, unspecified severity, with psychotic disturbanceBillableCC127
Inclusion terms 1
Inclusion terms
- Unspecified dementia, unspecified severity, with psychotic disturbance such as hallucinations, paranoia, suspiciousness, or delusional state
- F03.93Unspecified dementia, unspecified severity, with mood disturbanceBillableCC127
Inclusion terms 1
Inclusion terms
- Unspecified dementia, unspecified severity, with mood disturbance such as depression, apathy, or anhedonia
- F03.94Unspecified dementia, unspecified severity, with anxietyBillableCC127
- F03.AUnspecified dementia, mildHeader
Excludes1 1
Excludes1
- mild neurocognitive disorder due to known physiological condition with or without behavioral disturbance (F06.7-) F06.7
- F03.A0Unspecified dementia, mild, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxietyBillable127
Inclusion terms 1
Inclusion terms
- Dementia, mild, NOS
- F03.A1Unspecified dementia, mild, with behavioral disturbanceHeader
- F03.A11Unspecified dementia, mild, with agitationBillableCC127
Inclusion terms 2
Inclusion terms
- Unspecified dementia, mild, with aberrant motor behavior such as restlessness, rocking, pacing, or exit-seeking
- Unspecified dementia, mild, with verbal or physical behaviors such as profanity, shouting, threatening, anger, aggression, combativeness, or violence
- F03.A18Unspecified dementia, mild, with other behavioral disturbanceBillableCC127
Inclusion terms 1, Use additional code 1
Inclusion terms
- Unspecified dementia, mild, with behavioral disturbances such as sleep disturbance, social disinhibition, or sexual disinhibition
Use additional code
- code, if applicable, to identify wandering in unspecified dementia (Z91.83) Z91.83
- F03.A2Unspecified dementia, mild, with psychotic disturbanceBillableCC127
Inclusion terms 1
Inclusion terms
- Unspecified dementia, mild, with psychotic disturbance such as hallucinations, paranoia, suspiciousness, or delusional state
- F03.A3Unspecified dementia, mild, with mood disturbanceBillableCC127
Inclusion terms 1
Inclusion terms
- Unspecified dementia, mild, with mood disturbance such as depression, apathy, or anhedonia
- F03.A4Unspecified dementia, mild, with anxietyBillableCC127
- F03.BUnspecified dementia, moderateHeader
- F03.B0Unspecified dementia, moderate, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxietyBillable126
Inclusion terms 1
Inclusion terms
- Dementia, moderate, NOS
- F03.B1Unspecified dementia, moderate, with behavioral disturbanceHeader
- F03.B11Unspecified dementia, moderate, with agitationBillableCC126
Inclusion terms 2
Inclusion terms
- Unspecified dementia, moderate, with aberrant motor behavior such as restlessness, rocking, pacing, or exit-seeking
- Unspecified dementia, moderate, with verbal or physical behaviors such as profanity, shouting, threatening, anger, aggression, combativeness, or violence
- F03.B18Unspecified dementia, moderate, with other behavioral disturbanceBillableCC126
Inclusion terms 1, Use additional code 1
Inclusion terms
- Unspecified dementia, moderate, with behavioral disturbances such as sleep disturbance, social disinhibition, or sexual disinhibition
Use additional code
- code, if applicable, to identify wandering in unspecified dementia (Z91.83) Z91.83
- F03.B2Unspecified dementia, moderate, with psychotic disturbanceBillableCC126
Inclusion terms 1
Inclusion terms
- Unspecified dementia, moderate, with psychotic disturbance such as hallucinations, paranoia, suspiciousness, or delusional state
- F03.B3Unspecified dementia, moderate, with mood disturbanceBillableCC126
Inclusion terms 1
Inclusion terms
- Unspecified dementia, moderate, with mood disturbance such as depression, apathy, or anhedonia
- F03.B4Unspecified dementia, moderate, with anxietyBillableCC126
- F03.CUnspecified dementia, severeHeader
- F03.C0Unspecified dementia, severe, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxietyBillable125
Inclusion terms 1
Inclusion terms
- Dementia, severe, NOS
- F03.C1Unspecified dementia, severe, with behavioral disturbanceHeader
- F03.C11Unspecified dementia, severe, with agitationBillableCC125
Inclusion terms 2
Inclusion terms
- Unspecified dementia, severe, with aberrant motor behavior such as restlessness, rocking, pacing, or exit-seeking
- Unspecified dementia, severe, with verbal or physical behaviors such as profanity, shouting, threatening, anger, aggression, combativeness, or violence
- F03.C18Unspecified dementia, severe, with other behavioral disturbanceBillableCC125
Inclusion terms 1, Use additional code 1
Inclusion terms
- Unspecified dementia, severe, with behavioral disturbances such as sleep disturbance, social disinhibition, or sexual disinhibition
Use additional code
- code, if applicable, to identify wandering in unspecified dementia (Z91.83) Z91.83
- F03.C2Unspecified dementia, severe, with psychotic disturbanceBillableCC125
Inclusion terms 1
Inclusion terms
- Unspecified dementia, severe, with psychotic disturbance such as hallucinations, paranoia, suspiciousness, or delusional state
- F03.C3Unspecified dementia, severe, with mood disturbanceBillableCC125
Inclusion terms 1
Inclusion terms
- Unspecified dementia, severe, with mood disturbance such as depression, apathy, or anhedonia
- F03.C4Unspecified dementia, severe, with anxietyBillableCC125
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 F03
Inclusion terms
- Major neurocognitive disorder NOS
- Presenile dementia NOS
- Presenile psychosis NOS
- Primary degenerative dementia NOS
- Senile dementia NOS
- Senile dementia depressed or paranoid type
- Senile psychosis NOS
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
- Presbyophrenia → F03
- Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)›old age (senile) → F03
- Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)›presenile → F03
- Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)›primary degenerative → F03
- Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)›senile → F03
- Depression (acute) (mental)›senile → F03
- Disorder (of)›major neurocognitive → F03-
- Insanity, insane›senile → F03
- Melancholia›senile → F03
- Old age (without mention of debility)›dementia → F03
- Paranoia (querulans)›senile → F03
- Paranoid›dementia (senile) → F03
- Presenile›dementia → F03
- Psychosis, psychotic›presbyophrenic (type) → F03
- Psychosis, psychotic›presenile → F03
- Psychosis, psychotic›senile NEC → F03
- Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)›mild → F03.A0
- Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)›moderate → F03.B0
- Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)›severe → F03.C0
- Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)›in (due to)›unknown etiology → F03.-
- Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)›senile›depressed or paranoid type → F03
- Disorder (of)›mental (or behavioral) (nonpsychotic)›presenile, psychotic → F03
- Disorder (of)›mental (or behavioral) (nonpsychotic)›senile, psychotic NEC → F03
- Disorder (of)›neurocognitive›major → F03.-
- Paranoid›psychosis (climacteric) (involutional) (menopausal)›senile → F03
- Paranoid›state (climacteric) (involutional) (menopausal) (simple)›senile → F03
- Psychosis, psychotic›due to or associated with›presenile dementia → F03
- Psychosis, psychotic›due to or associated with›senile dementia → F03
- Psychosis, psychotic›paranoid (climacteric) (involutional) (menopausal)›senile → F03
- Psychosis, psychotic›senile NEC›depressed or paranoid type → F03
- Psychosis, psychotic›senile NEC›simple deterioration → F03
- Reaction›paranoid (acute)›senile → F03
- Senile, senility›with›mental changes NOS → F03
- State (of)›paranoid›senile → F03
- State (of)›psychotic, organic›senile or presenile → F03
- Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)›with›aberrant motor behavior (exit-seeking) (pacing) (restlessness) (rocking) → F03.911
- Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)›with›agitation → F03.911
- Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)›with›verbal or physical behaviors (anger) (aggression) (combativeness) (profanity) (shouting) (threatening) (violence) → F03.911
- Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)›with›behavioral disturbances (sexual disinhibition) (sleep disturbance) (social disinhibition) → F03.918
- Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)›with›psychotic disturbance (delusional state) (hallucinations) (paranoia) (suspiciousness) → F03.92
28 more, longer entries are not listed; the search box finds them by word.
NCHS Alphabetic Index. Index first, then the Tabular List.