F02.81 — Dementia in other diseases classified elsewhere, unspecified severity, with behavioral disturbance
F02.81 is a non-billable header ICD-10-CM code for dementia in other diseases classified elsewhere, unspecified severity, with behavioral disturbance. It cannot be billed on its own: choose one of the more specific child codes below.
Risk adjustment
F02.81 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
F02.81 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A57174Billing and Coding: MolDX: Pharmacogenomics Testing
Code to one of these instead F02.81
2 child codes. Green means billable.
Related codes at this level
Codes that share F02.8. If F02.81 is not quite right, the correct code is usually one of these.
- F02.80Dementia in other diseases classified elsewhere, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety
- 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
Questions about F02.81
- Is F02.81 a billable ICD-10-CM code?
- No. F02.81 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does F02.81 sit in the tabular list?
- Mental, Behavioral and Neurodevelopmental disorders (F01-F99), in the block Mental disorders due to known physiological conditions (F01-F09).