F01-F09
Mental disorders due to known physiological conditions
Block coding notes
Excludes 1 never together · Excludes 2 may co-exist
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.
Codes in this block
123 codes
Billableusable codeNon-billableheader / grouping codeRisk-adjusting
- F01Vascular dementiaNon-billable
- F01.5Vascular dementia, unspecified severityNon-billable
- F01.50Vascular dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxietyBillable
- F01.51Vascular dementia, unspecified severity, with behavioral disturbanceNon-billable
- F01.511Vascular dementia, unspecified severity, with agitationBillable
- F01.518Vascular dementia, unspecified severity, with other behavioral disturbanceBillable
- F01.52Vascular dementia, unspecified severity, with psychotic disturbanceBillable
- F01.53Vascular dementia, unspecified severity, with mood disturbanceBillable
- F01.54Vascular dementia, unspecified severity, with anxietyBillable
- F01.AVascular dementia, mildNon-billable
- F01.A0Vascular dementia, mild, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxietyBillable
- F01.A1Vascular dementia, mild, with behavioral disturbanceNon-billable
- F01.A11Vascular dementia, mild, with agitationBillable
- F01.A18Vascular dementia, mild, with other behavioral disturbanceBillable
- F01.A2Vascular dementia, mild, with psychotic disturbanceBillable
- F01.A3Vascular dementia, mild, with mood disturbanceBillable
- F01.A4Vascular dementia, mild, with anxietyBillable
- F01.BVascular dementia, moderateNon-billable
- F01.B0Vascular dementia, moderate, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxietyBillable
- F01.B1Vascular dementia, moderate, with behavioral disturbanceNon-billable
- F01.B11Vascular dementia, moderate, with agitationBillable
- F01.B18Vascular dementia, moderate, with other behavioral disturbanceBillable
- F01.B2Vascular dementia, moderate, with psychotic disturbanceBillable
- F01.B3Vascular dementia, moderate, with mood disturbanceBillable
- F01.B4Vascular dementia, moderate, with anxietyBillable
- F01.CVascular dementia, severeNon-billable
- F01.C0Vascular dementia, severe, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxietyBillable
- F01.C1Vascular dementia, severe, with behavioral disturbanceNon-billable
- F01.C11Vascular dementia, severe, with agitationBillable
- F01.C18Vascular dementia, severe, with other behavioral disturbanceBillable
- F01.C2Vascular dementia, severe, with psychotic disturbanceBillable
- F01.C3Vascular dementia, severe, with mood disturbanceBillable
- F01.C4Vascular dementia, severe, with anxietyBillable
- F02Dementia in other diseases classified elsewhereNon-billable
- F02.8Dementia in other diseases classified elsewhere, unspecified severityNon-billable
- F02.80Dementia in other diseases classified elsewhere, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxietyBillable
- F02.81Dementia in other diseases classified elsewhere, unspecified severity, with behavioral disturbanceNon-billable
- F02.811Dementia in other diseases classified elsewhere, unspecified severity, with agitationBillable
- F02.818Dementia in other diseases classified elsewhere, unspecified severity, with other behavioral disturbanceBillable
- F02.82Dementia in other diseases classified elsewhere, unspecified severity, with psychotic disturbanceBillable
- F02.83Dementia in other diseases classified elsewhere, unspecified severity, with mood disturbanceBillable
- F02.84Dementia in other diseases classified elsewhere, unspecified severity, with anxietyBillable
- F02.ADementia in other diseases classified elsewhere, mildNon-billable
- F02.A0Dementia in other diseases classified elsewhere, mild, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxietyBillable
- F02.A1Dementia in other diseases classified elsewhere, mild, with behavioral disturbanceNon-billable
- F02.A11Dementia in other diseases classified elsewhere, mild, with agitationBillable
- F02.A18Dementia in other diseases classified elsewhere, mild, with other behavioral disturbanceBillable
- F02.A2Dementia in other diseases classified elsewhere, mild, with psychotic disturbanceBillable
- F02.A3Dementia in other diseases classified elsewhere, mild, with mood disturbanceBillable
- F02.A4Dementia in other diseases classified elsewhere, mild, with anxietyBillable
- F02.BDementia in other diseases classified elsewhere, moderateNon-billable
- F02.B0Dementia in other diseases classified elsewhere, moderate, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxietyBillable
- F02.B1Dementia in other diseases classified elsewhere, moderate, with behavioral disturbanceNon-billable
- F02.B11Dementia in other diseases classified elsewhere, moderate, with agitationBillable
- F02.B18Dementia in other diseases classified elsewhere, moderate, with other behavioral disturbanceBillable
- F02.B2Dementia in other diseases classified elsewhere, moderate, with psychotic disturbanceBillable
- F02.B3Dementia in other diseases classified elsewhere, moderate, with mood disturbanceBillable
- F02.B4Dementia in other diseases classified elsewhere, moderate, with anxietyBillable
- F02.CDementia in other diseases classified elsewhere, severeNon-billable
- F02.C0Dementia in other diseases classified elsewhere, severe, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxietyBillable
- F02.C1Dementia in other diseases classified elsewhere, severe, with behavioral disturbanceNon-billable
- F02.C11Dementia in other diseases classified elsewhere, severe, with agitationBillable
- F02.C18Dementia in other diseases classified elsewhere, severe, with other behavioral disturbanceBillable
- F02.C2Dementia in other diseases classified elsewhere, severe, with psychotic disturbanceBillable
- F02.C3Dementia in other diseases classified elsewhere, severe, with mood disturbanceBillable
- F02.C4Dementia in other diseases classified elsewhere, severe, with anxietyBillable
- F03Unspecified dementiaNon-billable
- F03.9Unspecified dementia, unspecified severityNon-billable
- F03.90Unspecified dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxietyBillable
- F03.91Unspecified dementia, unspecified severity, with behavioral disturbanceNon-billable
- F03.911Unspecified dementia, unspecified severity, with agitationBillable
- F03.918Unspecified dementia, unspecified severity, with other behavioral disturbanceBillable
- F03.92Unspecified dementia, unspecified severity, with psychotic disturbanceBillable
- F03.93Unspecified dementia, unspecified severity, with mood disturbanceBillable
- F03.94Unspecified dementia, unspecified severity, with anxietyBillable
- F03.AUnspecified dementia, mildNon-billable
- F03.A0Unspecified dementia, mild, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxietyBillable
- F03.A1Unspecified dementia, mild, with behavioral disturbanceNon-billable
- F03.A11Unspecified dementia, mild, with agitationBillable
- F03.A18Unspecified dementia, mild, with other behavioral disturbanceBillable
- F03.A2Unspecified dementia, mild, with psychotic disturbanceBillable
- F03.A3Unspecified dementia, mild, with mood disturbanceBillable
- F03.A4Unspecified dementia, mild, with anxietyBillable
- F03.BUnspecified dementia, moderateNon-billable
- F03.B0Unspecified dementia, moderate, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxietyBillable
- F03.B1Unspecified dementia, moderate, with behavioral disturbanceNon-billable
- F03.B11Unspecified dementia, moderate, with agitationBillable
- F03.B18Unspecified dementia, moderate, with other behavioral disturbanceBillable
- F03.B2Unspecified dementia, moderate, with psychotic disturbanceBillable
- F03.B3Unspecified dementia, moderate, with mood disturbanceBillable
- F03.B4Unspecified dementia, moderate, with anxietyBillable
- F03.CUnspecified dementia, severeNon-billable
- F03.C0Unspecified dementia, severe, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxietyBillable
- F03.C1Unspecified dementia, severe, with behavioral disturbanceNon-billable
- F03.C11Unspecified dementia, severe, with agitationBillable
- F03.C18Unspecified dementia, severe, with other behavioral disturbanceBillable
- F03.C2Unspecified dementia, severe, with psychotic disturbanceBillable
- F03.C3Unspecified dementia, severe, with mood disturbanceBillable
- F03.C4Unspecified dementia, severe, with anxietyBillable
- F04Amnestic disorder due to known physiological conditionBillable
- F05Delirium due to known physiological conditionBillable
- F06Other mental disorders due to known physiological conditionNon-billable
- F06.0Psychotic disorder with hallucinations due to known physiological conditionBillable
- F06.1Catatonic disorder due to known physiological conditionBillable
- F06.2Psychotic disorder with delusions due to known physiological conditionBillable
- F06.3Mood disorder due to known physiological conditionNon-billable
- F06.30Mood disorder due to known physiological condition, unspecifiedBillable
- F06.31Mood disorder due to known physiological condition with depressive featuresBillable
- F06.32Mood disorder due to known physiological condition with major depressive-like episodeBillable
- F06.33Mood disorder due to known physiological condition with manic featuresBillable
- F06.34Mood disorder due to known physiological condition with mixed featuresBillable
- F06.4Anxiety disorder due to known physiological conditionBillable
- F06.7Mild neurocognitive disorder due to known physiological conditionNon-billable
- F06.70Mild neurocognitive disorder due to known physiological condition without behavioral disturbanceBillable
- F06.71Mild neurocognitive disorder due to known physiological condition with behavioral disturbanceBillable
- F06.8Other specified mental disorders due to known physiological conditionBillable
- F07Personality and behavioral disorders due to known physiological conditionNon-billable
- F07.0Personality change due to known physiological conditionBillable
- F07.8Other personality and behavioral disorders due to known physiological conditionNon-billable
- F07.81Postconcussional syndromeBillable
- F07.89Other personality and behavioral disorders due to known physiological conditionBillable
- F07.9Unspecified personality and behavioral disorder due to known physiological conditionBillable
- F09Unspecified mental disorder due to known physiological conditionBillable
Official Guidelines for F01-F09
FY 2026 ›Sections that reference codes in F01-F09