ICD-10 F44.0
Billable / Specific HCC v28: 60Dissociative amnesia
About ICD-10-CM F44.0
ICD-10-CM code F44.0 represents Dissociative amnesia. This is a billable/specific code in the Mental, Behavioral, and Neurodevelopmental chapter (block F44). The 2026 edition of ICD-10-CM F44.0 became effective on October 1, 2025.
Coding Tips for F44.0
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
F44.0 is a CMS-HCC v28 risk-adjustment code (category 60). 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.
Type 1 Excludes
Pure excludes, these codes can never be coded together with F44.0. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- amnesia NOS (R41.3)
- anterograde amnesia (R41.1)
- dissociative amnesia with dissociative fugue (F44.1)
- retrograde amnesia (R41.2)
Type 2 Excludes
Not included here, the excluded code is not part of F44.0, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.
- 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.-)
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 F44.0
Local Coverage Determinations (LCDs) from CMS MACs that list F44.0 as a covered diagnosis.
Showing top 10 of 207 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing F44.0.
1 Cigna
5 Medicare
CPT Codes Commonly Billed with F44.0
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Convert F44.0 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| F44.0 | 30012 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To F44.0
Other codes in section F40-F48 (Anxiety, dissociative, stress-related, somatoform and other nonpsychotic mental disorders).
ICD-10 F44.0, Billing FAQ
Is ICD-10 code F44.0 billable? +
Yes, F44.0 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What codes are Type 1 Excludes for F44.0? +
Type 1 Excludes (never code together with F44.0): amnesia NOS (R41.3); anterograde amnesia (R41.1); dissociative amnesia with dissociative fugue (F44.1)
What codes are Type 2 Excludes for F44.0? +
Type 2 Excludes (may be coded together when both conditions exist): 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.-)
Does F44.0 affect Medicare Advantage HCC risk adjustment? +
Yes. F44.0 maps to CMS-HCC v28 category 60. Capture this diagnosis annually for accurate Medicare Advantage risk score.
What ICD-9 codes does F44.0 map to? +
Per CMS GEMs, F44.0 maps to ICD-9 codes: 30012. Useful for legacy data review and historical claim analysis.
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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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