ICD-10 · PDGM grouping
F03 Unspecified dementia
All 24 codes in the F03 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in family
24
Can lead a claim
24
Cannot lead a claim
0
What CMS assigns to F03
All 24 codes group to Behavioral Health. All 24 count toward the Psychotic, major depressive, and dissociative disorders, includes unspecified dementia, eating disorder and intellectual disabilities comorbidity subgroup. Every code can lead a claim.
- Psychotic, major depressive, and dissociative disorders, includes unspecified dementia, eating disorder and intellectual disabilities: counts toward the high comorbidity tier only in an interaction pair.
Every code in F03
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| F03.9 Unspecified dementia, unspecified severity | ||||
| F03.90 | Unspecified dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxietyCMS: Unsp dementia, unsp severity, without beh/psych/mood/anx | Can lead a claim | F | Psychotic, major depressive, and dissociative disorders, includes unspecified dementia, eating disorder and intellectual disabilities |
| F03.91 Unspecified dementia, unspecified severity, with behavioral disturbance | ||||
| F03.911 | Unspecified dementia, unspecified severity, with agitation | Can lead a claim | F | Psychotic, major depressive, and dissociative disorders, includes unspecified dementia, eating disorder and intellectual disabilities |
| F03.918 | Unspecified dementia, unspecified severity, with other behavioral disturbanceCMS: Unsp dementia, unsp severity, with other behavioral disturb | Can lead a claim | F | Psychotic, major depressive, and dissociative disorders, includes unspecified dementia, eating disorder and intellectual disabilities |
| F03.92 | Unspecified dementia, unspecified severity, with psychotic disturbanceCMS: Unsp dementia, unspecified severity, with psychotic disturb | Can lead a claim | F | Psychotic, major depressive, and dissociative disorders, includes unspecified dementia, eating disorder and intellectual disabilities |
| F03.93 | Unspecified dementia, unspecified severity, with mood disturbanceCMS: Unsp dementia, unspecified severity, with mood disturb | Can lead a claim | F | Psychotic, major depressive, and dissociative disorders, includes unspecified dementia, eating disorder and intellectual disabilities |
| F03.94 | Unspecified dementia, unspecified severity, with anxiety | Can lead a claim | F | Psychotic, major depressive, and dissociative disorders, includes unspecified dementia, eating disorder and intellectual disabilities |
| F03.A Unspecified dementia, mild | ||||
| F03.A0 | Unspecified dementia, mild, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxietyCMS: Unspecified dementia, mild, without beh/psych/mood/anx | Can lead a claim | F | Psychotic, major depressive, and dissociative disorders, includes unspecified dementia, eating disorder and intellectual disabilities |
| F03.A1 Unspecified dementia, mild, with behavioral disturbance | ||||
| F03.A11 | Unspecified dementia, mild, with agitation | Can lead a claim | F | Psychotic, major depressive, and dissociative disorders, includes unspecified dementia, eating disorder and intellectual disabilities |
| F03.A18 | Unspecified dementia, mild, with other behavioral disturbanceCMS: Unspecified dementia, mild, with other behavioral disturb | Can lead a claim | F | Psychotic, major depressive, and dissociative disorders, includes unspecified dementia, eating disorder and intellectual disabilities |
| F03.A2 | Unspecified dementia, mild, with psychotic disturbance | Can lead a claim | F | Psychotic, major depressive, and dissociative disorders, includes unspecified dementia, eating disorder and intellectual disabilities |
| F03.A3 | Unspecified dementia, mild, with mood disturbance | Can lead a claim | F | Psychotic, major depressive, and dissociative disorders, includes unspecified dementia, eating disorder and intellectual disabilities |
| F03.A4 | Unspecified dementia, mild, with anxiety | Can lead a claim | F | Psychotic, major depressive, and dissociative disorders, includes unspecified dementia, eating disorder and intellectual disabilities |
| F03.B Unspecified dementia, moderate | ||||
| F03.B0 | Unspecified dementia, moderate, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxietyCMS: Unspecified dementia, moderate, without beh/psych/mood/anx | Can lead a claim | F | Psychotic, major depressive, and dissociative disorders, includes unspecified dementia, eating disorder and intellectual disabilities |
| F03.B1 Unspecified dementia, moderate, with behavioral disturbance | ||||
| F03.B11 | Unspecified dementia, moderate, with agitation | Can lead a claim | F | Psychotic, major depressive, and dissociative disorders, includes unspecified dementia, eating disorder and intellectual disabilities |
| F03.B18 | Unspecified dementia, moderate, with other behavioral disturbanceCMS: Unsp dementia, moderate, with other behavioral disturb | Can lead a claim | F | Psychotic, major depressive, and dissociative disorders, includes unspecified dementia, eating disorder and intellectual disabilities |
| F03.B2 | Unspecified dementia, moderate, with psychotic disturbance | Can lead a claim | F | Psychotic, major depressive, and dissociative disorders, includes unspecified dementia, eating disorder and intellectual disabilities |
| F03.B3 | Unspecified dementia, moderate, with mood disturbance | Can lead a claim | F | Psychotic, major depressive, and dissociative disorders, includes unspecified dementia, eating disorder and intellectual disabilities |
| F03.B4 | Unspecified dementia, moderate, with anxiety | Can lead a claim | F | Psychotic, major depressive, and dissociative disorders, includes unspecified dementia, eating disorder and intellectual disabilities |
| F03.C Unspecified dementia, severe | ||||
| F03.C0 | Unspecified dementia, severe, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxietyCMS: Unspecified dementia, severe, without beh/psych/mood/anx | Can lead a claim | F | Psychotic, major depressive, and dissociative disorders, includes unspecified dementia, eating disorder and intellectual disabilities |
| F03.C1 Unspecified dementia, severe, with behavioral disturbance | ||||
| F03.C11 | Unspecified dementia, severe, with agitation | Can lead a claim | F | Psychotic, major depressive, and dissociative disorders, includes unspecified dementia, eating disorder and intellectual disabilities |
| F03.C18 | Unspecified dementia, severe, with other behavioral disturbanceCMS: Unspecified dementia, severe, with other behavioral disturb | Can lead a claim | F | Psychotic, major depressive, and dissociative disorders, includes unspecified dementia, eating disorder and intellectual disabilities |
| F03.C2 | Unspecified dementia, severe, with psychotic disturbance | Can lead a claim | F | Psychotic, major depressive, and dissociative disorders, includes unspecified dementia, eating disorder and intellectual disabilities |
| F03.C3 | Unspecified dementia, severe, with mood disturbance | Can lead a claim | F | Psychotic, major depressive, and dissociative disorders, includes unspecified dementia, eating disorder and intellectual disabilities |
| F03.C4 | Unspecified dementia, severe, with anxiety | Can lead a claim | F | Psychotic, major depressive, and dissociative disorders, includes unspecified dementia, eating disorder and intellectual disabilities |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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