Dementia in other diseases classified elsewhere
In Mental disorders due to known physiological conditions (F01-F09), chapter 5: Mental, Behavioral and Neurodevelopmental Disorders
24 billable codes under F02: 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
- Major neurocognitive disorder in other diseases classified elsewhere
Excludes1: not coded here, use a different code
- mild neurocognitive disorder due to known physiological condition with or without behavioral disturbance (F06.7-)
Excludes2: not included here, code separately if applicable
Code first: code the underlying condition first, then this code
- the underlying physiological condition, such as:
- Alzheimer's (G30.-)
- cerebral lipidosis (E75.4)
- Creutzfeldt-Jakob disease (A81.0-)
- epilepsy and recurrent seizures (G40.-)
- hepatolenticular degeneration (E83.01)
- human immunodeficiency virus [HIV] disease (B20)
- Huntington's disease (G10)
- hypercalcemia (E83.52)
- hypothyroidism, acquired (E00-E03.-)
- intoxications (T36-T65)
- Jakob-Creutzfeldt disease (A81.0-)
- multiple sclerosis (G35-)
- neurocognitive disorder with Lewy bodies (G31.83)
- neurosyphilis (A52.17)
- niacin deficiency [pellagra] (E52)
- other frontotemporal neurocognitive disorder (G31.09)
- Parkinson's disease (G20.-)
- Pick's disease (G31.01)
- polyarteritis nodosa (M30.0)
- prion disease (A81.9)
- systemic lupus erythematosus (M32.-)
- traumatic brain injury (S06.-)
- trypanosomiasis (B56.-, B57.-)
- vitamin B deficiency (E53.8)
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 F02
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 F02
F02 can't be used on a claim. Pick a billable code below; grey headings group them.
- F02.8Dementia in other diseases classified elsewhere, unspecified severity
- F02.80Dementia in other diseases classified elsewhere, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety
- F02.81Dementia in other diseases classified elsewhere, unspecified severity, with behavioral disturbance
- F02.811Dementia in other diseases classified elsewhere, unspecified severity, with agitation
- F02.818Dementia in other diseases classified elsewhere, unspecified severity, with other behavioral disturbance
- F02.82Dementia in other diseases classified elsewhere, unspecified severity, with psychotic disturbance
- F02.83Dementia in other diseases classified elsewhere, unspecified severity, with mood disturbance
- F02.84Dementia in other diseases classified elsewhere, unspecified severity, with anxiety
- F02.ADementia in other diseases classified elsewhere, mild
- F02.A0Dementia in other diseases classified elsewhere, mild, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety
- F02.A1Dementia in other diseases classified elsewhere, mild, with behavioral disturbance
- F02.A11Dementia in other diseases classified elsewhere, mild, with agitation
- F02.A18Dementia in other diseases classified elsewhere, mild, with other behavioral disturbance
- F02.A2Dementia in other diseases classified elsewhere, mild, with psychotic disturbance
- F02.A3Dementia in other diseases classified elsewhere, mild, with mood disturbance
- F02.A4Dementia in other diseases classified elsewhere, mild, with anxiety
- F02.BDementia in other diseases classified elsewhere, moderate
- F02.B0Dementia in other diseases classified elsewhere, moderate, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety
- F02.B1Dementia in other diseases classified elsewhere, moderate, with behavioral disturbance
- F02.B11Dementia in other diseases classified elsewhere, moderate, with agitation
- F02.B18Dementia in other diseases classified elsewhere, moderate, with other behavioral disturbance
- F02.B2Dementia in other diseases classified elsewhere, moderate, with psychotic disturbance
- F02.B3Dementia in other diseases classified elsewhere, moderate, with mood disturbance
- F02.B4Dementia in other diseases classified elsewhere, moderate, with anxiety
- F02.CDementia in other diseases classified elsewhere, severe
- F02.C0Dementia in other diseases classified elsewhere, severe, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety
- F02.C1Dementia in other diseases classified elsewhere, severe, with behavioral disturbance
- F02.C11Dementia in other diseases classified elsewhere, severe, with agitation
- F02.C18Dementia in other diseases classified elsewhere, severe, with other behavioral disturbance
- F02.C2Dementia in other diseases classified elsewhere, severe, with psychotic disturbance
- F02.C3Dementia in other diseases classified elsewhere, severe, with mood disturbance
- F02.C4Dementia in other diseases classified elsewhere, severe, with anxiety
F02 MS-DRG
As the principal diagnosis, all 24 billable codes under F02 group to MS-DRG 884 (v44.0).
Other codes that refer to F02
Notes on these codes point to F02.
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.
