F02.C4 — Dementia in other diseases classified elsewhere, severe, with anxiety
F02.C4 is a billable, specific ICD-10-CM code for dementia in other diseases classified elsewhere, severe, with anxiety. 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 in other diseases classified elsewhere, severe, with anxiety
Risk adjustment
F02.C4 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
F02.C4 is named in 12 Medicare coverage policies — 11 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
- A56865Billing and Coding: Psychiatric Inpatient Hospitalization
How F02.C4 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 F02.C4.
- Dementia›in›diseases specified elsewhere›severe›with›anxiety
Related codes at this level
Codes that share F02.C. If F02.C4 is not quite right, the correct code is usually one of these.
- 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.C2Dementia in other diseases classified elsewhere, severe, with psychotic disturbance
- F02.C3Dementia in other diseases classified elsewhere, severe, with mood disturbance
Questions about F02.C4
- Is F02.C4 a billable ICD-10-CM code?
- Yes. F02.C4 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does F02.C4 sit in the tabular list?
- Mental, Behavioral and Neurodevelopmental disorders (F01-F99), in the block Mental disorders due to known physiological conditions (F01-F09).