2027 ICD-10-CM Diagnosis Code F01.A0Vascular dementia, mild, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety
ICD-10-CM Codes›F01–F99›F01-F09›F01
- Billable — Valid for Submission
- Risk Adjusts — HCC 127
- Chronic Condition
F01.A0 is a billable ICD-10-CM diagnosis code for vascular dementia, mild, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 884. The code is restricted by the Medicare Code Editor to adult patients (age 15 through 124). In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Neurocognitive disorders.
For Medicare Advantage risk adjustment, F01.A0 maps to CMS-HCC Category 127 (Dementia, Mild or Unspecified) under the V28 model, adding a risk factor of about 0.341 for a community, non-dual, aged beneficiary in payment year 2027.
Code Identity
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for F01.A0.
Medicare Risk Adjustment (HCC)Billing
F01.A0 maps to a payment category in the CMS-HCC model used to risk-adjust Medicare Advantage payments. Weights are the published community factors for payment year 2027.
Source: CMS Payment Year 2027 risk adjustment mappings and model software. Weights are relative factors, not dollar amounts; a beneficiary's total RAF also includes demographics and interactions. Browse all CMS-HCC categories.
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to F01.A0: its own notes plus those printed at F01.A, F01, block F01-F09, and Chapter 5. A note printed at a category, block or chapter applies to every code under it.
Includes
Further defines, or gives examples of, the content of the category.
- arteriosclerotic dementia
- major neurocognitive disorder due to vascular disease
- multi-infarct dementia
- disorders of psychological development
Applicable To
Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.
- Major neurocognitive disorder due to vascular disease, mild, NOS
- Vascular dementia, mild, NOS
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
Code First
The underlying condition named in the note is sequenced before this code.
- if applicable, any causal condition
Notes
General instructions on how these codes are used.
- This block comprises a range of mental disorders grouped together on the basis of their having in common a demonstrable etiology in cerebral disease, brain injury, or other insult leading to cerebral dysfunction. The dysfunction may be primary, as in diseases, injuries, and insults that affect the brain directly and selectively; or secondary, as in systemic diseases and disorders that attack the brain only as one of the multiple organs or systems of the body that are involved.
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name F01.A0, its category, or a range that includes it.
Applicable To 1
These notes mention F01.A0.
- O99.34 Other mental disorders complicating pregnancy, childbirth, and the puerperium
Excludes1 2
These codes carry an Excludes1 note naming F01.A0: they are not reported together with it, unless the two conditions are unrelated.
Excludes2 4
These codes carry an Excludes2 note naming F01.A0: its condition is not part of those codes, and both may be reported when the patient has both.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Dementia, Vascular
an imprecise term referring to dementia associated with cerebrovascular disorders, including cerebral infarction (single or multiple), and conditions associated with chronic brain ischemia. diffuse, cortical, and subcortical subtypes have been described. (from gerontol geriatr 1998 feb;31(1):36-44)
Patient EducationClinical
Anxiety
Anxiety is a feeling of fear, dread, and uneasiness. It might cause you to sweat, feel restless and tense, and have a rapid heartbeat. It can be a normal reaction to stress. For example, you might feel anxious when faced with a difficult problem at work, before taking a test, or before making an important decision.
The full article covers:
- What is anxiety?
- What are anxiety disorders?
- What are the types of anxiety disorders?
- What causes anxiety disorders?
- Who is at risk for anxiety disorders?
- What are the symptoms of anxiety disorders?
- How are anxiety disorders diagnosed?
- What are the treatments for anxiety disorders?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Code History & ChangesHistory
Replacement F01.A0 replaces the following previously assigned code(s):
- F01.50 - Vascular dementia without behavioral disturbance
- F01.50 - Vascular dementia, unsp severity, without beh/psych/mood/anx
Questions About F01.A0Overview
Is F01.A0 (Vascular dementia, mild) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report vascular dementia, mild, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does F01.A0 group to?
When vascular dementia, mild, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety is the principal diagnosis on an inpatient stay, it groups to MS-DRG 884 (organic Disturbances and Intellectual Disability), which carries a relative weight of 1.5998. Higher weights mean higher Medicare reimbursement.
Who can F01.A0 be reported for?
The Medicare Code Editor checks vascular dementia, mild, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety against patient demographics: this code is intended for adult patients (age 15 through 124). Claims outside these limits are flagged as inconsistent.
Can F01.A0 be reported with a code from F06.7?
Not as a rule. The Excludes1 note at F01.A, which applies to F01.A0, lists "mild neurocognitive disorder due to known physiological condition with or without behavioral disturbance (F06.7-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).
What is coded first with F01.A0?
The Code First note at F01, which applies to F01.A0, reads: if applicable, any causal condition. When one of these applies, it is sequenced before F01.A0.
What HCC is F01.A0?
F01.A0 (vascular dementia, mild, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety) maps to CMS-HCC Category 127 (Dementia, Mild or Unspecified), commonly written as HCC 127, in the CMS-HCC V28 model used for Medicare Advantage risk adjustment in payment year 2027. It mapped to HCC 52 under the retired V24 model. It also maps in the ESRD (V21) and ESRD (V24) models. In the Part D prescription drug model it maps to RxHCC 112.
Does F01.A0 risk-adjust for Medicare Advantage payment?
Yes. When documented and reported on a Medicare Advantage encounter, F01.A0 adds a risk adjustment factor of about 0.341 to the beneficiary's RAF score for a community, non-dual, aged enrollee (published V28 weights range from 0.000 to 0.438 depending on the payment segment). A more severe related category (HCC 125 and HCC 126) supersedes it when both are reported. See the full factor table on the HCC 127 category page.