F03Non-billable

Unspecified dementia

Mental, Behavioral and Neurodevelopmental Disorders·Mental disorders due to known physiological conditions (F01-F09)·category·FY 2026

CH5 Parent Instructions

Includes
  • disorders of psychological development
Excludes2(Not included here. Code separately if applicable.)
  • symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)

Instructional Notes

Includes
  • 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
Excludes2(Not included here. Code separately if applicable.)
  • dementia with delirium or acute confusional state (F05)
  • mild memory disturbance due to known physiological condition (F06.8)

Clinical Hierarchy

BillableHas subcodes
CH5Mental, Behavioral and Neurodevelopmental disorders (F01-F99)
F01-F09Mental disorders due to known physiological conditions (F01-F09)
F03Unspecified dementiaNot billable
F03.9Unspecified dementia, unspecified severitySubcodes
F03.AUnspecified dementia, mildSubcodes
F03.BUnspecified dementia, moderateSubcodes
F03.CUnspecified dementia, severeSubcodes

MS-DRG Classification

2026

No direct MS-DRG triggers identified.