ICD-10 F01.B0
Billable / Specific HCC v28: 52Vascular dementia, moderate, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety
About ICD-10-CM F01.B0
ICD-10-CM code F01.B0 represents Vascular dementia, moderate, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety. This is a billable/specific code in the Mental, Behavioral, and Neurodevelopmental chapter (block F01). The 2026 edition of ICD-10-CM F01.B0 became effective on October 1, 2025.
Coding Tips for F01.B0
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
F01.B0 is a CMS-HCC v28 risk-adjustment code (category 52). To count for the patient Risk Adjustment Factor (RAF), document the diagnosis with MEAT language each calendar year: Monitored, Evaluated, Assessed, Treated. A diagnosis on the problem list alone does not satisfy CMS RADV audit standards. Include the diagnosis in the assessment with current status and current treatment plan.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under F01.B0. Per CMS ICD-10-CM Tabular 2026.
- Major neurocognitive disorder due to vascular disease, moderate, NOS
- Vascular dementia, moderate, NOS
Medicare Advantage HCC Impact
Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.
Medicare LCD Coverage for F01.B0
Local Coverage Determinations (LCDs) from CMS MACs that list F01.B0 as a covered diagnosis.
Showing top 10 of 350 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing F01.B0.
5 Medicare
CPT Codes Commonly Billed with F01.B0
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 97130 CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders CMS LCD
- 92608 CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders CMS LCD
- 97129 CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders CMS LCD
- 92607 CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders CMS LCD
- 96110 CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders CMS LCD
- 92524 CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders CMS LCD
- 92508 CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders CMS LCD
- 92597 CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders CMS LCD
- 92521 CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders CMS LCD
- 96105 CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders CMS LCD
Codes Adjacent To F01.B0
Other codes in section F01-F09 (Mental disorders due to known physiological conditions).
ICD-10 F01.B0, Billing FAQ
Is ICD-10 code F01.B0 billable? +
Yes, F01.B0 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to F01.B0? +
ICD-10 F01.B0 includes: Major neurocognitive disorder due to vascular disease, moderate, NOS; Vascular dementia, moderate, NOS.
Does F01.B0 affect Medicare Advantage HCC risk adjustment? +
Yes. F01.B0 maps to CMS-HCC v28 category 52. Capture this diagnosis annually for accurate Medicare Advantage risk score.
What CPT codes are commonly billed with F01.B0? +
Procedures frequently paired with F01.B0 include: 97130, 92608, 97129, 92607, 96110.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on July 16, 2026.
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