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 guidanceDissociative 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 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
MappedHCC 153
Code-level coefficient reference
CMS-HCC V24
HistoricalHistorical
Not used for CY2026 payment
ACA/HHS
N/A—
Not mapped
ESRD/PACE
N/A—
Not mapped
RXHCC
MappedHCC 133
Code-level coefficient reference
Code Book Path
Inclusion Terms
OfficialICD-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
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
OfficialICD-10-CM does not list Code First sequencing instructions for F44.0 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for F44.0 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for F44.0 in this effective period.
Buddy Documentation Tip
MEAT Support
Audit Caution
Common Mistakes
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
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
Excludes 2, Not included here, may code separately
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

