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F44.0 ICD-10-CM Code: Dissociative amnesia

F44.0 maps to CMS-HCC V28 153. A source-labeled RAF reference is available. Documentation must support MEAT. MEAT criteria · RAF Calculator · HCC coding software

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FY 2026 Apr update / Mental, Behavioral and Neurodevelopmental disorders (F01-F99) / Anxiety, dissociative, stress-related, somatoform and other nonpsychotic mental disorders (F40-F48)

F44.0

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Dissociative amnesia

A condition where a person loses memory of important personal information or events, typically following a traumatic or stressful experience, without a physical cause.

Buddy the Bee presenting code insight

Buddy Insight

Dissociative amnesia involves inability to recall important personal information, usually of a traumatic or stressful nature, that is too extensive to be explained by ordinary forgetfulness.

CMS-HCC V28

HCC 153

Code-level coefficient reference

CMS-HCC V24

Historical

Historical

Not used for CY2026 payment

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

HCC 133

Code-level coefficient reference

Code Book Path

Official
F44Dissociative and conversion disorders
F44.0Dissociative amnesia

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for F44.0 in this effective period.

Excludes 2

Official
  • alcohol-or other psychoactive substance-induced amnestic disorder (F10, F13, F19 with .26, .96)
  • amnestic disorder due to known physiological condition (F04)
  • postictal amnesia in epilepsy (G40.-)

Related Child Codes

Official
F44.1Dissociative fugue
F44.2Dissociative stupor
F44.4Conversion disorder with motor symptom or deficit
F44.5Conversion disorder with seizures or convulsions
F44.6Conversion disorder with sensory symptom or deficit

Includes

Official
  • conversion hysteria
  • conversion reaction
  • hysteria
  • hysterical psychosis

Excludes 1

Official
  • amnesia NOS (R41.3)
  • anterograde amnesia (R41.1)
  • dissociative amnesia with dissociative fugue (F44.1)
  • retrograde amnesia (R41.2)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for F44.0 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for F44.0 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for F44.0 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Inability to recall important autobiographical information, usually traumatic or stressful in nature
Memory loss is inconsistent with ordinary forgetting and is too extensive for normal forgetfulness
Symptoms cause clinically significant distress or functional impairment
Disturbance is not attributable to substances (alcohol blackouts, drug effects) or a neurological condition (head injury, seizure disorder)

MEAT Support

HCC Buddy guidance
Inability to recall important autobiographical information, usually traumatic or stressful in nature
Memory loss is inconsistent with ordinary forgetting and is too extensive for normal forgetfulness
Symptoms cause clinically significant distress or functional impairment
Disturbance is not attributable to substances (alcohol blackouts, drug effects) or a neurological condition (head injury, seizure disorder)

Audit Caution

HCC Buddy guidance
Coding dissociative amnesia without ruling out organic/neurological causes of memory loss (TBI, seizures, dementia)
Confusing dissociative amnesia with alcohol-induced blackouts or substance-related memory impairment
Not distinguishing dissociative amnesia from the amnesia that occurs as part of dissociative identity disorder
Using F44.0 for ordinary forgetfulness or age-related memory decline

Common Mistakes

HCC Buddy guidance
R41.3 (Other amnesia) — Use R41.3 for amnesia without a dissociative basis (e.g., transient global amnesia); F44.0 is specifically dissociative
F44.1 (Dissociative fugue) — Fugue involves sudden travel with identity confusion plus amnesia; dissociative amnesia is memory loss without the fugue component
G31.84 (Mild cognitive impairment) — Mild cognitive impairment is neurodegenerative; dissociative amnesia is psychological
F44.81 (Dissociative identity disorder) — DID involves distinct personality states with amnesia; F44.0 is amnesia without alternate identities

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 →

Is F44.0 an HCC code?

Yes. F44.0 (Dissociative amnesia) maps to HCC 153, Personality Disorders; Anorexia/Bulimia Nervosa under the CMS-HCC V28 risk adjustment model, with a source-labeled community non-dual aged reference coefficient of 0.396. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes. It is billable for payment year 2026.

Coder answer: F44.0 is billable and maps to V28 HCC 153, Personality Disorders; Anorexia/Bulimia Nervosa. Open it in the Code Book for the tabular path, RAF, and MEAT checklist.

Code
F44.0
Description
Dissociative amnesia
HCC (V28)
HCC 153 — Personality Disorders; Anorexia/Bulimia Nervosa
RAF reference coefficient
0.396
Billable
Yes
Payment year
2026

HCC Category Mapping

V28HCC 153, Personality Disorders; Anorexia/Bulimia Nervosa
0.396
RxHCCHCC 133, Anxiety and Other Psychiatric Disorders
Not separately weighted

These are source-labeled model coefficients, not member totals. A category may still be removed by hierarchy or model cleanup rules. Weights are not directly comparable across models: CMS-HCC V28 and V24 use Community, Non-Dual, Aged; ESRD uses the dialysis continuing-enrollee model; RxHCC is the Part D continuing-enrollee, non-low-income, aged weight (a larger scale than CMS-HCC). ACA/HHS has no single weight — it varies by metal level. Actual per-patient RAF contribution depends on member context, hierarchy and cleanup rules, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains available for historical review.

Work F44.0 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →

MEAT Criteria for F44.0

For F44.0 to count as a valid HCC diagnosis in a given encounter, the provider's documentation must show MEAT: Monitor, Evaluate, Assess, or Treat. A diagnosis from a prior year does not carry forward automatically, it has to be re-documented and supported each calendar year.

  • MMonitor: signs, symptoms, disease progression, or lab trending documented in the note
  • EEvaluate: test results, medication response, or physical findings reviewed by the provider
  • AAssess: explicit mention in the assessment or plan with acknowledgment of status
  • TTreat: medication, referral, procedure, therapy, or counseling tied to the diagnosis

Only one of M/E/A/T is required to support the code, but the documentation must be specific enough to show that the provider actually addressed F44.0 during that encounter, not just copy-forwarded from a problem list.

Coder workflow notes

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What This Code Means

F44.0 is the ICD-10-CM diagnosis code for dissociative amnesia. A condition where a person loses memory of important personal information or events, typically following a traumatic or stressful experience, without a physical cause. F44.0 sits in the ICD-10-CM chapter for mental, behavioral and neurodevelopmental disorders (f01-f99), within the section covering anxiety, dissociative, stress-related, somatoform and other nonpsychotic mental disorders (f40-f48).

Under the CMS-HCC V28 risk adjustment model, F44.0 maps to Personality Disorders; Anorexia/Bulimia Nervosa (HCC 153) with a source-labeled community, non-dual, aged reference coefficient of 0.396. No V24 mapping is shown for F44.0; use the applicable model and payment year when reviewing the V28 mapping. V28 is the CMS-HCC risk adjustment model that reached 100% phase-in for payment year 2026, replacing V24 which was used during the PY2024–PY2025 transition. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes.

Document the type of amnesia (localized, selective, generalized) if specified in clinical notes. Because F44.0 maps to an HCC category, the provider's documentation must satisfy MEAT criteria (Monitor, Evaluate, Assess, or Treat) before the diagnosis is used for risk adjustment. When documentation is ambiguous, coders should issue a provider query rather than assume the highest-specificity variant.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for F44.0 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Document the type of amnesia (localized, selective, generalized) if specified in clinical notes
  • Ensure documentation distinguishes this from organic amnesia caused by medical conditions or substance use

Clinical Significance

Dissociative amnesia involves inability to recall important personal information, usually of a traumatic or stressful nature, that is too extensive to be explained by ordinary forgetfulness. Under V24 it maps to HCC 60 (Personality Disorders).

Documentation Requirements

  • Inability to recall important autobiographical information, usually traumatic or stressful in nature
  • Memory loss is inconsistent with ordinary forgetting and is too extensive for normal forgetfulness
  • Symptoms cause clinically significant distress or functional impairment
  • Disturbance is not attributable to substances (alcohol blackouts, drug effects) or a neurological condition (head injury, seizure disorder)
  • Not better explained by dissociative identity disorder, PTSD, somatic symptom disorder, or neurocognitive disorder
  • Neurological workup documented to rule out organic causes
  • Mental status examination findings including memory testing

Excludes 1, Do NOT code together

  • amnesia NOS (R41.3)
  • anterograde amnesia (R41.1)
  • dissociative amnesia with dissociative fugue (F44.1)
  • retrograde amnesia (R41.2)

Excludes 2, Not included here, may code separately

  • alcohol-or other psychoactive substance-induced amnestic disorder (F10, F13, F19 with .26, .96)
  • amnestic disorder due to known physiological condition (F04)
  • postictal amnesia in epilepsy (G40.-)

Commonly Confused Codes

  • R41.3 (Other amnesia): Use R41.3 for amnesia without a dissociative basis (e.g., transient global amnesia); F44.0 is specifically dissociative
  • F44.1 (Dissociative fugue): Fugue involves sudden travel with identity confusion plus amnesia; dissociative amnesia is memory loss without the fugue component
  • G31.84 (Mild cognitive impairment): Mild cognitive impairment is neurodegenerative; dissociative amnesia is psychological
  • F44.81 (Dissociative identity disorder): DID involves distinct personality states with amnesia; F44.0 is amnesia without alternate identities
  • F10.26 (Alcohol dependence with alcohol-induced persisting amnestic disorder): Substance-induced amnesia is coded under the substance use category

Child Codes

Code Hierarchy

Because F44.0 maps to an HCC category, the documentation must satisfy MEAT criteria (Monitor, Evaluate, Assess, or Treat) before the diagnosis is used for risk adjustment.

F44.0 maps to CMS-HCC V28 category 153, Personality Disorders; Anorexia/Bulimia Nervosa. See the ICD-10 to HCC mapping hub for how the V28 crosswalk works. The mapping identifies a payment HCC category for F44.0. Review its source-labeled HCC coefficient above, check the RAF Calculator with complete member context for CMS-HCC V28 PY2026, and confirm the documentation the chart needs before the code is submitted. HCC Buddy shows no RAF score unless every required source and calculation check passes.

Work F44.0 in HCC Buddy

Open F44.0 in the Code Book for the full Index-to-Tabular path, MEAT checklist, and V28 HCC mapping, or in the Encoder to code from a keyword search. Pro includes 7 days to try everything, no card required.