F03.94: Unspecified dementia, unspecified severity, with anxiety
F03.94 is a billable, specific ICD-10-CM code for unspecified dementia, unspecified severity, with anxiety. It is valid for submission on a claim.
Check F03.94 with the rest of the claim: free scrubberOther codes that can never be billed with F03.94
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
F03.94 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 127 Dementia, Mild or Unspecified0.341 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
F03.94 is named in 18 Medicare coverage policies: 17 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
- A53134Billing and Coding: NCD Coding Article for Positron Emission Tomography (PET) Scans Used for Non-Oncologic Conditions
- A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
- A56641Billing and Coding: Home Health Skilled Nursing Care-Teaching and Training: Alzheimer's Disease and Behavioral Disturbances
Alphabetic index entries that lead here
- Dementia›with›anxiety
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under F03.9
- F03.90Unspecified dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety
- F03.91Unspecified dementia, unspecified severity, with behavioral disturbance
- F03.92Unspecified dementia, unspecified severity, with psychotic disturbance
- F03.93Unspecified dementia, unspecified severity, with mood disturbance