F03.B ICD-10-CM Code: Unspecified dementia, moderate
F03.B is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · free HCC coding tools
HCC Buddy Code Card
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FY 2026 Apr update / Mental, Behavioral and Neurodevelopmental disorders (F01-F99) / Mental disorders due to known physiological conditions (F01-F09)
F03.B
Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidanceUnspecified dementia, moderate
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
N/A—
Not mapped
ACA/HHS
N/A—
Not mapped
ESRD/PACE
N/A—
Not mapped
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
Official- Major neurocognitive disorder NOSInherited from F03
- Presenile dementia NOSInherited from F03
- Presenile psychosis NOSInherited from F03
- Primary degenerative dementia NOSInherited from F03
- Senile dementia NOSInherited from F03
- Senile dementia depressed or paranoid typeInherited from F03
- Senile psychosis NOSInherited from F03
Excludes 2
Official- symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)Inherited from F01-F99, F03
- dementia with delirium or acute confusional state (F05)Inherited from F01-F99, F03
- mild memory disturbance due to known physiological condition (F06.8)Inherited from F01-F99, F03
Related Codes
Includes
Official- disorders of psychological developmentInherited from F01-F99
Excludes 1
OfficialNo Excludes 1 notes are included in this display for F03.B. Check the code and parent instructions in the Code Book.
Code First
OfficialNo Code First sequencing instructions are included in this display for F03.B. Check the code and parent instructions in the Code Book.
Use Additional
OfficialNo Use Additional Code instructions are included in this display for F03.B. Check the code and parent instructions in the Code Book.
Code Also
OfficialNo Code Also instructions are included in this display for F03.B. Check the code and parent instructions in the Code Book.
Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →
- Code
- F03.B
- Description
- Unspecified dementia, moderate
- HCC (V28)
- No CMS-HCC V28 mapping
- RAF reference coefficient
- —
- Billable
- No
- Payment year
- 2026
Coder workflow notes
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What This Code Means
F03.B is the ICD-10-CM diagnosis code for unspecified dementia, moderate. F03.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 F03.B cannot be reported on claims directly; they organize child codes that share clinical context. Coders should select the billable child code that matches the documented presentation and then verify its current source-backed HCC mapping. Do not infer a child code or risk adjustment value from the header alone.
HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for F03.B sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.