F01.B0
BillableVascular dementia, moderate, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety
HCC Category Mapping
V28HCC 126 — Dementia, Moderate
0.550RxHCCHCC 112 — Dementia and Other Specified Brain Disorders
0.000What This Code Means
Mid-stage dementia caused by reduced blood flow to the brain, without behavioral, mood, anxiety, or psychotic symptoms.
Coding Tips
- •Use this code for moderate vascular dementia when cognitive decline is more significant but psychiatric symptoms are absent
- •Verify that the severity level is documented as moderate in the clinical record
Clinical Significance
Moderate vascular dementia without behavioral disturbance represents intermediate-stage cerebrovascular cognitive decline where the patient requires assistance with instrumental and some basic activities of daily living. The moderate stage often necessitates caregiver involvement and begins the transition toward more intensive support needs.
Documentation Requirements
- ✓Diagnosis of vascular dementia with cerebrovascular etiology
- ✓Severity explicitly documented as 'moderate' by the treating provider
- ✓Cognitive testing supporting moderate impairment
- ✓Functional assessment documenting need for assistance with activities of daily living
- ✓Confirmation of absence of behavioral, psychotic, mood, and anxiety disturbances
- ✓Brain imaging consistent with vascular etiology
- ✓Care coordination and caregiver support plan
Commonly Confused Codes
F01.A0 — Vascular dementia, mild: earlier stage with greater preserved functionF01.50 — Vascular dementia, unspecified severity: use only when severity is not specifiedF01.C0 — Vascular dementia, severe: later stage with more profound impairmentF01.B11 — Vascular dementia, moderate, with agitation: use when behavioral disturbance is present
Code Hierarchy
└F01Vascular dementia└F01.BVascular dementia, moderate└F01.B0Vascular dementia, moderate, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety
└F01.B0Vascular dementia, moderate, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety