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FY2027 ICD-10-CM reference

F03: Unspecified dementia

By the HCC Buddy Coding Team

The official ICD-10-CM descriptor is Unspecified dementia. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.

Nonbillable heading. Verified against the official FY2027 order file.

CMS-HCC V28

Not applicable to this nonbillable heading

CMS-HCC V24

Not applicable to this nonbillable heading

ESRD

Not applicable to this nonbillable heading

PACE

Not applicable to this nonbillable heading

RxHCC

Not applicable to this nonbillable heading

HHS-HCC

Not applicable to this nonbillable heading

More specific FY2027 codes

FY2027 Tabular instructions

Instructions below include applicable chapter, section and parent-code notes. Each note identifies where it appears in the official source.

Includes

disorders of psychological development

Source: F01-F99 (chapter, inherited).

Excludes2

symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)

Source: F01-F99 (chapter, inherited).

Instructional note

This block comprises a range of mental disorders grouped together on the basis of their having in common a demonstrable etiology in cerebral disease, brain injury, or other insult leading to cerebral dysfunction. The dysfunction may be primary, as in diseases, injuries, and insults that affect the brain directly and selectively; or secondary, as in systemic diseases and disorders that attack the brain only as one of the multiple organs or systems of the body that are involved.

Source: F01-F09 (section, inherited).

Instructional note

Major neurocognitive disorder NOS

Source: F03 (category, direct).

Instructional note

Presenile dementia NOS

Source: F03 (category, direct).

Instructional note

Presenile psychosis NOS

Source: F03 (category, direct).

Instructional note

Primary degenerative dementia NOS

Source: F03 (category, direct).

Instructional note

Senile dementia NOS

Source: F03 (category, direct).

Instructional note

Senile dementia depressed or paranoid type

Source: F03 (category, direct).

Instructional note

Senile psychosis NOS

Source: F03 (category, direct).

Excludes2

dementia with delirium or acute confusional state (F05)

Source: F03 (category, direct).

Excludes2

mild memory disturbance due to known physiological condition (F06.8)

Source: F03 (category, direct).

Source: CMS FY2027 Tabular List and Alphabetic Index.

Open Tabular instructions and code details

Compare the FY2027 additions, removals and billable-status changes

What does F03 mean in FY2027?

The official ICD-10-CM descriptor is Unspecified dementia. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.

Is F03 billable in FY2027?

The FY2027 order file marks F03 as a nonbillable heading. Select a complete billable child code.

Does F03 map to an HCC?

Risk-model mapping is not applicable to this nonbillable heading. Check a complete billable child code.

Source: CMS FY2027 ICD-10-CM order file. Payment model: CMS CY 2027 Rate Announcement. Read the FY2027 Official Guidelines.

Review the FY2026 April edition