F01.C3 — Vascular dementia, severe, with mood disturbance
F01.C3 is a billable, specific ICD-10-CM code for vascular dementia, severe, with mood disturbance. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Major neurocognitive disorder due to vascular disease, severe, with mood disturbance such as depression, apathy, or anhedonia
- Vascular dementia, severe, with mood disturbance such as depression, apathy, or anhedonia
Other codes that can never be billed with F01.C3
These codes carry an Excludes1 note pointing at F01.C3. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading F01.C3 alone.
Risk adjustment
F01.C3 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 125 Dementia, Severe0.341 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.
Medicare coverage
F01.C3 is named in 14 Medicare coverage policies — 13 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- 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
How F01.C3 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to F01.C3.
- Dementia›vascular›severe›with›mood disturbance(anhedonia) (apathy) (depression)
Code history
F01.C3 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share F01.C. If F01.C3 is not quite right, the correct code is usually one of these.
Questions about F01.C3
- Is F01.C3 a billable ICD-10-CM code?
- Yes. F01.C3 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does F01.C3 sit in the tabular list?
- Mental, Behavioral and Neurodevelopmental disorders (F01-F99), in the block Mental disorders due to known physiological conditions (F01-F09).