ICD-10 · PDGM grouping
F01-F09 — Mental disorders due to known physiological conditions
Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.2.26.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in range
91
No clinical group
43
A period cannot be grouped from these.
Barred as primary
3
CMS rejects these in the primary position.
Where these codes group
48 of the 91 codes in F01-F09 group to Behavioral Health. A further 43 are assigned no clinical group at all, which means a 30-day period cannot be grouped from them.
Code families in F01-F09
One page per three-character family: every code in it, whether it can lead a claim, its clinical group and comorbidity subgroup.
- F01Vascular dementia24 codes
- F02Dementia in other diseases classified elsewhere24 codes
- F03Unspecified dementia24 codes
- F04Amnestic disorder due to known physiological condition1 code
- F05Delirium due to known physiological condition1 code
- F06Other mental disorders due to known physiological condition12 codes
- F07Personality and behavioral disorders due to known physiological condition4 codes
- F09Unspecified mental disorder due to known physiological condition1 code
Every code in F01-F09
Descriptions are CMS’s own, abbreviated as CMS abbreviates them.
| Code | Description | Clinical group | Primary position |
|---|---|---|---|
| F0150 | Vascular dementia, unsp severity, without beh/psych/mood/anx | F | Can lead a claim, code first applies |
| F01511 | Vascular dementia, unspecified severity, with agitation | F | Can lead a claim, code first applies |
| F01518 | Vascular dementia, unsp severity, with other beh disturb | F | Can lead a claim, code first applies |
| F0152 | Vascular dementia, unsp severity, with psychotic disturb | F | Can lead a claim, code first applies |
| F0153 | Vascular dementia, unspecified severity, with mood disturb | F | Can lead a claim, code first applies |
| F0154 | Vascular dementia, unspecified severity, with anxiety | F | Can lead a claim, code first applies |
| F01A0 | Vascular dementia, mild, without beh/psych/mood/anx | F | Can lead a claim, code first applies |
| F01A11 | Vascular dementia, mild, with agitation | F | Can lead a claim, code first applies |
| F01A18 | Vascular dementia, mild, with other behavioral disturbance | F | Can lead a claim, code first applies |
| F01A2 | Vascular dementia, mild, with psychotic disturbance | F | Can lead a claim, code first applies |
| F01A3 | Vascular dementia, mild, with mood disturbance | F | Can lead a claim, code first applies |
| F01A4 | Vascular dementia, mild, with anxiety | F | Can lead a claim, code first applies |
| F01B0 | Vascular dementia, moderate, without beh/psych/mood/anx | F | Can lead a claim, code first applies |
| F01B11 | Vascular dementia, moderate, with agitation | F | Can lead a claim, code first applies |
| F01B18 | Vascular dementia, moderate, with other behavioral disturb | F | Can lead a claim, code first applies |
| F01B2 | Vascular dementia, moderate, with psychotic disturbance | F | Can lead a claim, code first applies |
| F01B3 | Vascular dementia, moderate, with mood disturbance | F | Can lead a claim, code first applies |
| F01B4 | Vascular dementia, moderate, with anxiety | F | Can lead a claim, code first applies |
| F01C0 | Vascular dementia, severe, without beh/psych/mood/anx | F | Can lead a claim, code first applies |
| F01C11 | Vascular dementia, severe, with agitation | F | Can lead a claim, code first applies |
| F01C18 | Vascular dementia, severe, with other behavioral disturbance | F | Can lead a claim, code first applies |
| F01C2 | Vascular dementia, severe, with psychotic disturbance | F | Can lead a claim, code first applies |
| F01C3 | Vascular dementia, severe, with mood disturbance | F | Can lead a claim, code first applies |
| F01C4 | Vascular dementia, severe, with anxiety | F | Can lead a claim, code first applies |
| F0280 | Dem in oth dis classd elswhr,unsp sev,w/o beh/psych/mood/anx | None | Cannot lead a claim |
| F02811 | Dem in other dis classd elswhr, unsp severt, with agitation | None | Cannot lead a claim |
| F02818 | Dem in oth dis classd elswhr, unsp sev, with oth beh distrb | None | Cannot lead a claim |
| F0282 | Dem in other dis classd elswhr, unsp sev, with psych distrb | None | Cannot lead a claim |
| F0283 | Dem in other dis classd elswhr, unsp sev, with mood distrb | None | Cannot lead a claim |
| F0284 | Dem in other dis classd elswhr, unsp severity, with anxiety | None | Cannot lead a claim |
| F02A0 | Dem in other dis classd elswhr, mild, w/o beh/psych/mood/anx | None | Cannot lead a claim |
| F02A11 | Dem in other diseases classd elswhr, mild, with agitation | None | Cannot lead a claim |
| F02A18 | Dem in other dis classd elswhr, mild, with other beh distrb | None | Cannot lead a claim |
| F02A2 | Dem in other dis classd elswhr, mild, with psych disturb | None | Cannot lead a claim |
| F02A3 | Dem in other diseases classd elswhr, mild, with mood disturb | None | Cannot lead a claim |
| F02A4 | Dementia in other diseases classd elswhr, mild, with anxiety | None | Cannot lead a claim |
| F02B0 | Dem in other dis classd elswhr, mod, w/o beh/psych/mood/anx | None | Cannot lead a claim |
| F02B11 | Dem in other dis classd elswhr, moderate, with agitation | None | Cannot lead a claim |
| F02B18 | Dem in other dis classd elswhr, mod, with other beh disturb | None | Cannot lead a claim |
| F02B2 | Dem in other dis classd elswhr, moderate, with psych disturb | None | Cannot lead a claim |
| F02B3 | Dem in other dis classd elswhr, moderate, with mood disturb | None | Cannot lead a claim |
| F02B4 | Dem in other diseases classd elswhr, moderate, with anxiety | None | Cannot lead a claim |
| F02C0 | Dem in other dis classd elswhr, sev, w/o beh/psych/mood/anx | None | Cannot lead a claim |
| F02C11 | Dem in other diseases classd elswhr, severe, with agitation | None | Cannot lead a claim |
| F02C18 | Dem in other dis classd elswhr, sev, with other beh distrb | None | Cannot lead a claim |
| F02C2 | Dem in other dis classd elswhr, severe, with psych disturb | None | Cannot lead a claim |
| F02C3 | Dem in other dis classd elswhr, severe, with mood disturb | None | Cannot lead a claim |
| F02C4 | Dem in other diseases classd elswhr, severe, with anxiety | None | Cannot lead a claim |
| F0390 | Unsp dementia, unsp severity, without beh/psych/mood/anx | F | Can lead a claim |
| F03911 | Unspecified dementia, unspecified severity, with agitation | F | Can lead a claim |
| F03918 | Unsp dementia, unsp severity, with other behavioral disturb | F | Can lead a claim |
| F0392 | Unsp dementia, unspecified severity, with psychotic disturb | F | Can lead a claim |
| F0393 | Unsp dementia, unspecified severity, with mood disturb | F | Can lead a claim |
| F0394 | Unspecified dementia, unspecified severity, with anxiety | F | Can lead a claim |
| F03A0 | Unspecified dementia, mild, without beh/psych/mood/anx | F | Can lead a claim |
| F03A11 | Unspecified dementia, mild, with agitation | F | Can lead a claim |
| F03A18 | Unspecified dementia, mild, with other behavioral disturb | F | Can lead a claim |
| F03A2 | Unspecified dementia, mild, with psychotic disturbance | F | Can lead a claim |
| F03A3 | Unspecified dementia, mild, with mood disturbance | F | Can lead a claim |
| F03A4 | Unspecified dementia, mild, with anxiety | F | Can lead a claim |
| F03B0 | Unspecified dementia, moderate, without beh/psych/mood/anx | F | Can lead a claim |
| F03B11 | Unspecified dementia, moderate, with agitation | F | Can lead a claim |
| F03B18 | Unsp dementia, moderate, with other behavioral disturb | F | Can lead a claim |
| F03B2 | Unspecified dementia, moderate, with psychotic disturbance | F | Can lead a claim |
| F03B3 | Unspecified dementia, moderate, with mood disturbance | F | Can lead a claim |
| F03B4 | Unspecified dementia, moderate, with anxiety | F | Can lead a claim |
| F03C0 | Unspecified dementia, severe, without beh/psych/mood/anx | F | Can lead a claim |
| F03C11 | Unspecified dementia, severe, with agitation | F | Can lead a claim |
| F03C18 | Unspecified dementia, severe, with other behavioral disturb | F | Can lead a claim |
| F03C2 | Unspecified dementia, severe, with psychotic disturbance | F | Can lead a claim |
| F03C3 | Unspecified dementia, severe, with mood disturbance | F | Can lead a claim |
| F03C4 | Unspecified dementia, severe, with anxiety | F | Can lead a claim |
| F04 | Amnestic disorder due to known physiological condition | None | Cannot lead a claim |
| F05 | Delirium due to known physiological condition | None | Cannot lead a claim |
| F060 | Psychotic disorder w hallucin due to known physiol condition | None | Cannot lead a claim |
| F061 | Catatonic disorder due to known physiological condition | None | Cannot lead a claim |
| F062 | Psychotic disorder w delusions due to known physiol cond | None | Cannot lead a claim |
| F0630 | Mood disorder due to known physiological condition, unsp | None | Cannot lead a claim |
| F0631 | Mood disorder due to known physiol cond w depressv features | None | Cannot lead a claim |
| F0632 | Mood disord d/t physiol cond w major depressive-like epsd | None | Cannot lead a claim |
| F0633 | Mood disorder due to known physiol cond w manic features | None | Cannot lead a claim |
| F0634 | Mood disorder due to known physiol cond w mixed features | None | Cannot lead a claim |
| F064 | Anxiety disorder due to known physiological condition | None | Cannot lead a claim |
| F0670 | Mild neurocog disord d/t known physiol cond w/o beh distrb | None | Cannot lead a claim |
| F0671 | Mild neurocog disord d/t known physiol cond with beh distrb | None | Cannot lead a claim |
| F068 | Oth mental disorders due to known physiological condition | None | Cannot lead a claim |
| F070 | Personality change due to known physiological condition | None | Cannot lead a claim |
| F0781 | Postconcussional syndrome | None | Cannot lead a claim |
| F0789 | Oth personality & behavrl disord due to known physiol cond | None | Cannot lead a claim |
| F079 | Unsp personality & behavrl disord due to known physiol cond | None | Cannot lead a claim |
| F09 | Unsp mental disorder due to known physiological condition | None | Cannot lead a claim |
Source: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01. 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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