ICD-10 F02.A0
Billable / Specific HCC v28: 52Dementia in other diseases classified elsewhere, mild, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety
About ICD-10-CM F02.A0
ICD-10-CM code F02.A0 represents Dementia in other diseases classified elsewhere, mild, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety. This is a billable/specific code in the Mental, Behavioral, and Neurodevelopmental chapter (block F02). The 2026 edition of ICD-10-CM F02.A0 became effective on October 1, 2025.
Coding Tips for F02.A0
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
F02.A0 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 F02.A0. Per CMS ICD-10-CM Tabular 2026.
- Dementia in other diseases classified elsewhere, mild, NOS
- Major neurocognitive disorder in other diseases classified elsewhere, mild, 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 F02.A0
Local Coverage Determinations (LCDs) from CMS MACs that list F02.A0 as a covered diagnosis.
Showing top 10 of 247 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing F02.A0.
5 Medicare
CPT Codes Commonly Billed with F02.A0
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 90865 CMS LCD: Billing and Coding: Psychiatric Codes CMS LCD
- 90889 CMS LCD: Billing and Coding: Psychiatric Codes CMS LCD
- G0451 CMS LCD: Billing and Coding: Psychiatric Codes CMS LCD
- 90880 CMS LCD: Billing and Coding: Psychiatric Codes CMS LCD
- 90839 CMS LCD: Billing and Coding: Psychiatric Codes CMS LCD
- G0017 CMS LCD: Billing and Coding: Psychiatric Codes CMS LCD
- 90840 CMS LCD: Billing and Coding: Psychiatric Codes CMS LCD
- G0018 CMS LCD: Billing and Coding: Psychiatric Codes CMS LCD
- G0560 CMS LCD: Billing and Coding: Psychiatric Codes CMS LCD
- 90845 CMS LCD: Billing and Coding: Psychiatric Codes CMS LCD
Codes Adjacent To F02.A0
Other codes in section F01-F09 (Mental disorders due to known physiological conditions).
ICD-10 F02.A0, Billing FAQ
Is ICD-10 code F02.A0 billable? +
Yes, F02.A0 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 F02.A0? +
ICD-10 F02.A0 includes: Dementia in other diseases classified elsewhere, mild, NOS; Major neurocognitive disorder in other diseases classified elsewhere, mild, NOS.
Does F02.A0 affect Medicare Advantage HCC risk adjustment? +
Yes. F02.A0 maps to CMS-HCC v28 category 52. Capture this diagnosis annually for accurate Medicare Advantage risk score.
What CPT codes are commonly billed with F02.A0? +
Procedures frequently paired with F02.A0 include: 90865, 90889, G0451, 90880, 90839.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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