F03

F03: Unspecified dementia

Non-billable headerICD-10-CM

F03 is a non-billable header ICD-10-CM code for unspecified dementia. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

dementia with delirium or acute confusional state (F05)
mild memory disturbance due to known physiological condition (F06.8)

Inclusion terms

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

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

Other codes that can never be billed with F03

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

F06Other mental disorders due to known physiological condition
F06.7Mild neurocognitive disorder due to known physiological condition
G30Alzheimer's disease
G31.84Mild cognitive impairment of uncertain or unknown etiology
R54Age-related physical debility

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Alphabetic index entries that lead here

Presbyophrenia
Dementia›old age(senile)
Dementia›presenile
Dementia›primary degenerative
Dementia›senile
Depression›senile
Insanity, insane›senile
Melancholia›senile
Old age›dementia
Paranoia›senile
Paranoid›dementia(senile)
Presenile›dementia

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead F03

4 child codes. Green means billable.