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FY 2026 Apr update / Mental, Behavioral and Neurodevelopmental disorders (F01-F99) / Mental disorders due to known physiological conditions (F01-F09)

F02.B

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Dementia in other diseases classified elsewhere, moderate

Dementia in other diseases classified elsewhere, moderate

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
F02Dementia in other diseases classified elsewhere
F02.BDementia in other diseases classified elsewhere, moderate

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for F02.B in this effective period.

Excludes 2

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

Related Child Codes

Official
F02.B0Dementia in other diseases classified elsewhere, moderate, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety
F02.B1Dementia in other diseases classified elsewhere, moderate, with behavioral disturbance
F02.B2Dementia in other diseases classified elsewhere, moderate, with psychotic disturbance
F02.B3Dementia in other diseases classified elsewhere, moderate, with mood disturbance
F02.B4Dementia in other diseases classified elsewhere, moderate, with anxiety

Includes

Official
  • Major neurocognitive disorder in other diseases classified elsewhere

Excludes 1

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

Code First

Official
  • the underlying physiological condition, such as:
  • Alzheimer's (G30.-)
  • cerebral lipidosis (E75.4)
  • Creutzfeldt-Jakob disease (A81.0-)
  • epilepsy and recurrent seizures (G40.-)

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for F02.B in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for F02.B in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

What This Code Means

F02.B is the ICD-10-CM diagnosis code for dementia in other diseases classified elsewhere, moderate. F02.B 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.B 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.B'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.B sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

More on F02.B

Related condition guides

Referenced in blog posts

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