ICD-10-CM Codes > F01-F09 > F02
Code Attributes
- Non-Billable/Non-Specific Code
Type 1 Excludes
- Mild neurocognitive disorder due to known physiological condition with or without behavioral disturbance (F06.7-)
Type 2 Excludes
- Dementia in alcohol and psychoactive substance disorders (F10-F19, with .17, .27, .97)
- Vascular dementia (F01.5-, F01.A-, F01.B-, F01.C-)
Includes
- Major neurocognitive disorder in other diseases classified elsewhere
Code First
The underlying physiological condition, such as:
- Alzheimer's (G30.-)
- Cerebral lipidosis (E75.4)
- Creutzfeldt-Jakob disease (A81.0-)
- Epilepsy and recurrent seizures (G40.-)
- Frontotemporal dementia (G31.09)
- Hepatolenticular degeneration (E83.01)
- Human immunodeficiency virus [HIV] disease (B20)
- Huntington's disease (G10)
- Hypercalcemia (E83.52)
- Hypothyroidism, acquired (E00-E03.-)
- Intoxications (T36-T65)
- Jakob-Creutzfeldt disease (A81.0-)
- Multiple sclerosis (G35)
- Neurocognitive disorder with Lewy bodies (G31.83)
- Neurosyphilis (A52.17)
- Niacin deficiency [pellagra] (E52)
- Other frontotemporal neurocognitive disorder (G31.90)
- Parkinson's disease (G20.-)
- Pick's disease (G31.01)
- Polyarteritis nodosa (M30.0)
- Prion disease (A81.9)
- Systemic lupus erythematosus (M32.-)
- Traumatic brain injury (S06.-)
- Trypanosomiasis (B56.-, B57.-)
- vitamin B deficiency (E53.8)
F02 Codes
- F02.8 Dementia in other diseases classified elsewhere, unspecified severity
- F02.80 Dementia in other diseases classified elsewhere, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety
- F02.81 Dementia in other diseases classified elsewhere, unspecified severity, with behavioral disturbance
- F02.811 Dementia in other diseases classified elsewhere, unspecified severity, with agitation
- F02.818 Dementia in other diseases classified elsewhere, unspecified severity, with other behavioral disturbance
- F02.82 Dementia in other diseases classified elsewhere, unspecified severity, with psychotic disturbance
- F02.83 Dementia in other diseases classified elsewhere, unspecified severity, with mood disturbance
- F02.84 Dementia in other diseases classified elsewhere, unspecified severity, with anxiety
- F02.A Dementia in other diseases classified elsewhere, mild
- F02.A0 Dementia in other diseases classified elsewhere, mild, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety
- F02.A1 Dementia in other diseases classified elsewhere, mild, with behavioral disturbance
- F02.A11 Dementia in other diseases classified elsewhere, mild, with agitation
- F02.A18 Dementia in other diseases classified elsewhere, mild, with other behavioral disturbance
- F02.A2 Dementia in other diseases classified elsewhere, mild, with psychotic disturbance
- F02.A3 Dementia in other diseases classified elsewhere, mild, with mood disturbance
- F02.A4 Dementia in other diseases classified elsewhere, mild, with anxiety
- F02.B Dementia in other diseases classified elsewhere, moderate
- F02.B0 Dementia in other diseases classified elsewhere, moderate, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety
- F02.B1 Dementia in other diseases classified elsewhere, moderate, with behavioral disturbance
- F02.B11 Dementia in other diseases classified elsewhere, moderate, with agitation
- F02.B18 Dementia in other diseases classified elsewhere, moderate, with other behavioral disturbance
- F02.B2 Dementia in other diseases classified elsewhere, moderate, with psychotic disturbance
- F02.B3 Dementia in other diseases classified elsewhere, moderate, with mood disturbance
- F02.B4 Dementia in other diseases classified elsewhere, moderate, with anxiety
- F02.C Dementia in other diseases classified elsewhere, severe
- F02.C0 Dementia in other diseases classified elsewhere, severe, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety
- F02.C1 Dementia in other diseases classified elsewhere, severe, with behavioral disturbance
- F02.C11 Dementia in other diseases classified elsewhere, severe, with agitation
- F02.C18 Dementia in other diseases classified elsewhere, severe, with other behavioral disturbance
- F02.C2 Dementia in other diseases classified elsewhere, severe, with psychotic disturbance
- F02.C3 Dementia in other diseases classified elsewhere, severe, with mood disturbance
- F02.C4 Dementia in other diseases classified elsewhere, severe, with anxiety
ICD-10 Code F02 refers to "dementia in other diseases classified elsewhere." It is used in clinical settings to denote cases where a patient exhibits dementia as a symptom or consequence of another medically recognized condition.
The ”F02” category is crucial in mental health diagnosis as it acknowledges the relationship between dementia and various physical health conditions, providing a clear way to code such diagnoses accurately.
Make sure to use this code correctly when billing for care. This will ensure accurate documentation, facilitate appropriate treatment planning, and secure prompt insurance reimbursements with no hiccups.
Here's how to apply this knowledge effectively:
1. Diagnosis entry
Before documenting the diagnosis, ensure that you've accurately identified that the dementia is secondary to another condition, as this specificity impacts coding. F02 should not be used for primary dementia cases without an identified underlying condition.
2. Insurance claims
For insurance claims, the accuracy of the ICD-10 code is crucial. Incorrect coding can lead to claim denials or delays from a patient’s insurance company. Make sure that the primary condition causing the dementia is also documented and coded correctly in the patient's record and on the claim form. This might require including additional codes that identify the primary condition.
3. Documentation
Ensure thorough documentation of the patient's condition, including how the diagnosis of dementia relates to the primary disease. This documentation is critical not only for clinical reasons but also for justifying the use of the F02 code to insurance providers.
4. Client communication
Be clear with clients about their diagnosis and the implications for treatment and billing. Understanding the relationship between their primary condition and their dementia can help in managing expectations and in discussing treatment plans.
5. Continuing education
Stay updated on any changes to the ICD-10 codes and billing practices. The World Health Organization (WHO) periodically updates these codes, which can affect billing and insurance claims.
6. Insurance verification
Before submitting claims, verify the patient's insurance coverage for conditions classified under F02. Since treatment for dementia can be long-term and intensive, understanding the coverage limits, co-pays, deductibles, and out-of-pocket expenses is crucial for both the practice and the patient.
Sources
- "2024 ICD-10-CM Dementia Fact Sheet". National Alliance for Care at Home. National Hospice and Palliative Care Organization, n.d., https://www.nhpco.org/wp-content/uploads/Dementia_ICD10_Fact_Sheet.pdf. Accessed 27 Jan 2025.
- "2024 ICD-10-CM Dementia Fact Sheet". National Alliance for Care at Home. National Hospice and Palliative Care Organization, n.d., https://www.nhpco.org/wp-content/uploads/Dementia_ICD10_Fact_Sheet.pdf. Accessed 27 Jan 2025.
- "ICD-10 Code for Dementia in other diseases classified elsewhere, severe, with behavioral disturbance- F02.C1- Codify by AAPC". Codify By AAPC. American Academy of Professional Coders, n.d., https://www.aapc.com/codes/icd-10-codes/F02.C1?srsltid=AfmBOoqkp3kF2swT6npj1g8felXmhi4Q2eq4G1GqMuo1JAhg2iG5fs3X. Accessed 27 Jan 2025.
- "2025 ICD-10-CM Diagnosis Code F02: Dementia in other diseases classified elsewhere". ICD10Data. ICD10Data, n.d., https://www.icd10data.com/ICD10CM/Codes/F01-F99/F01-F09/F02-/F02. Accessed 27 Jan 2025.
