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F01.B4

F01.B4: Vascular dementia, moderate, with anxiety

Billable / specific codeICD-10-CM

F01.B4 is a billable, specific ICD-10-CM code for vascular dementia, moderate, with anxiety. It is valid for submission on a claim.

Check F01.B4 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

  • Major neurocognitive disorder due to vascular disease, moderate, with anxiety

Other codes that can never be billed with F01.B4

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • F06.7Mild neurocognitive disorder due to known physiological condition
  • G31.84Mild cognitive impairment of uncertain or unknown etiology

Risk adjustment

F01.B4 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

  • HCC 126 Dementia, Moderate0.341 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.

Medicare coverage

F01.B4 is named in 15 Medicare coverage policies: 14 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which one applies depends on your Medicare contractor.

  • A52434Health and Behavior Assessment/Intervention – Medical Policy Articlenot covered
  • A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
  • A56612Billing and Coding: CT of the Head
  • A56775Billing and Coding: Magnetic Resonance Angiography

Alphabetic index entries that lead here

  • Dementia›vascular›moderate›with›anxiety

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under F01.B

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.