Vascular dementia
In Mental disorders due to known physiological conditions (F01-F09), chapter 5: Mental, Behavioral and Neurodevelopmental Disorders
24 billable codes under F01: 20 are a CC; all map to HCC 127 (Dementia, Mild or Unspecified), HCC 125 (Dementia, Severe), HCC 126 (Dementia, Moderate).A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment. An HCC counts toward a Medicare Advantage patient's risk score.
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Instructional notes
Includes: conditions that are coded here
- arteriosclerotic dementia
- major neurocognitive disorder due to vascular disease
- multi-infarct dementia
Code first: code the underlying condition first, then this code
- if applicable, any causal condition
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
- Section I.C.5.d Dementia (page 45), covers F01
Code dementia (F01, F02, F03) by cause and by severity as the provider documents it; use unspecified severity when it is not stated. If it worsens during an inpatient stay, assign one code for the highest severity reached.
Other Chapter 5 topics:
All codes under F01
F01 can't be used on a claim. Pick a billable code below; grey headings group them.
- F01.5Vascular dementia, unspecified severity
- F01.50Vascular dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety
- F01.51Vascular dementia, unspecified severity, with behavioral disturbance
- F01.511Vascular dementia, unspecified severity, with agitation
- F01.518Vascular dementia, unspecified severity, with other behavioral disturbance
- F01.52Vascular dementia, unspecified severity, with psychotic disturbance
- F01.53Vascular dementia, unspecified severity, with mood disturbance
- F01.54Vascular dementia, unspecified severity, with anxiety
- F01.AVascular dementia, mild
- F01.A0Vascular dementia, mild, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety
- F01.A1Vascular dementia, mild, with behavioral disturbance
- F01.A11Vascular dementia, mild, with agitation
- F01.A18Vascular dementia, mild, with other behavioral disturbance
- F01.A2Vascular dementia, mild, with psychotic disturbance
- F01.A3Vascular dementia, mild, with mood disturbance
- F01.A4Vascular dementia, mild, with anxiety
- F01.BVascular dementia, moderate
- F01.B0Vascular dementia, moderate, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety
- F01.B1Vascular dementia, moderate, with behavioral disturbance
- F01.B11Vascular dementia, moderate, with agitation
- F01.B18Vascular dementia, moderate, with other behavioral disturbance
- F01.B2Vascular dementia, moderate, with psychotic disturbance
- F01.B3Vascular dementia, moderate, with mood disturbance
- F01.B4Vascular dementia, moderate, with anxiety
- F01.CVascular dementia, severe
- F01.C0Vascular dementia, severe, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety
- F01.C1Vascular dementia, severe, with behavioral disturbance
- F01.C11Vascular dementia, severe, with agitation
- F01.C18Vascular dementia, severe, with other behavioral disturbance
- F01.C2Vascular dementia, severe, with psychotic disturbance
- F01.C3Vascular dementia, severe, with mood disturbance
- F01.C4Vascular dementia, severe, with anxiety
F01 MS-DRG
As the principal diagnosis, all 24 billable codes under F01 group to MS-DRG 884 (v44.0).
Other codes that refer to F01
Notes on these codes point to F01.
- F06 Excludes2: dementia as classified in F01-F02
- F06.7 Excludes1: dementia (F01.-, F02.-, F03.-)
- F63.1 Excludes2: mental disorders due to known physiological condition (F01-F09)
- F63.2 Excludes2: stealing in mental disorders due to known physiological condition (F01-F09)
- F98.4 Excludes2: stereotypies that are part of a broader psychiatric condition (F01-F95)
- G31.84 Excludes1: dementia (F01.-, F02.-, F03.-)
- I67.850 Code Also: vascular dementia (F01.-)
- O99.34 Includes: Conditions in F01-F09, F20-F52 and F54-F99
- R40-R46 Excludes2: symptoms and signs constituting part of a pattern of mental disorder (F01-F99)
- R46 Excludes1: mental and behavioral disorders (F01-F99)
- Z81.8 Includes: Conditions classifiable elsewhere in F01-F99
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Dementia
Dementia is a loss of mental functions that is severe enough to affect your daily life and activities. These functions include: It is normal to become a bit more forgetful as you age. But dementia is not a normal part of aging. It is a serious disorder that interferes with your daily life.
Read more about dementia on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.