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F02

Non-Billable (Header)

Dementia in other diseases classified elsewhere

Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)

What This Code Means

F02 is the ICD-10-CM diagnosis code for dementia in other diseases classified elsewhere. F02 sits in the ICD-10-CM chapter for mental, behavioral and neurodevelopmental disorders (f01-f99), within the section covering mental disorders due to known physiological conditions (f01-f09).

Header codes like F02 cannot be reported on claims directly — they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at F02's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for F02 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Includes

  • Major neurocognitive disorder in other diseases classified elsewhere

Excludes 1 — Do NOT code together

  • mild neurocognitive disorder due to known physiological condition with or without behavioral disturbance (F06.7-)

Excludes 2 — Not included here, may code separately

  • dementia in alcohol and psychoactive substance disorders (F10-F19, with .17, .27, .97)
  • vascular dementia (F01.5-, F01.A-, F01.B-, F01.C-)

Code First

  • the underlying physiological condition, such as:
  • Alzheimer's (G30.-)
  • cerebral lipidosis (E75.4)
  • Creutzfeldt-Jakob disease (A81.0-)
  • epilepsy and recurrent seizures (G40.-)
  • frontotemporal dementia (G31.09)
  • hepatolenticular degeneration (E83.01)
  • human immunodeficiency virus [HIV] disease (B20)
  • Huntington's disease (G10)
  • hypercalcemia (E83.52)
  • hypothyroidism, acquired (E00-E03.-)
  • intoxications (T36-T65)
  • Jakob-Creutzfeldt disease (A81.0-)
  • multiple sclerosis (G35-)
  • neurocognitive disorder with Lewy bodies (G31.83)
  • neurosyphilis (A52.17)
  • niacin deficiency [pellagra] (E52)
  • other frontotemporal neurocognitive disorder (G31.90)
  • Parkinson's disease (G20.-)
  • Pick's disease (G31.01)
  • polyarteritis nodosa (M30.0)
  • prion disease (A81.9)
  • systemic lupus erythematosus (M32.-)
  • traumatic brain injury (S06.-)
  • trypanosomiasis (B56.-, B57.-)
  • vitamin B deficiency (E53.8)

Child Codes

Code Hierarchy

F02Dementia in other diseases classified elsewhere
F02Dementia in other diseases classified elsewhere

More on F02

Related condition guides

Referenced in blog posts

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