2027 ICD-10-CM Diagnosis Code F01.C0Vascular dementia, severe, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety

ICD-10-CM Codes›F01–F99›F01-F09›F01

ICD-10-CM F01.C0
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

F01.C0 is a billable ICD-10-CM diagnosis code for vascular dementia, severe, 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.C0 maps to CMS-HCC Category 125 (Dementia, Severe) 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

ICD-10-CM Code
F01.C0
Billable Status
Yes — Valid for Submission
Code Describes
Vascular dementia, severe, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety
Short Description
Vascular dementia, severe, without beh/psych/mood/anx
Parent Code
F01.C
Vascular dementia, severe

Code Classification

ChapterF01–F99Mental and behavioural disorders
SectionF01-F09Mental disorders due to known physiological conditions
CategoryF01Vascular dementia
This CodeF01.C0Vascular dementia, severe, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety

Code EditsBilling

Medicare Code Editor checks that affect claim validity for F01.C0.

Adult diagnoses
The Medicare Code Editor detects inconsistencies in adult cases by checking a patient's age and any diagnosis on the patient's record. The adult code edits apply to patients age range is 15–124 years inclusive (e.g., senile delirium, mature cataract).

Medicare Risk Adjustment (HCC)Billing

F01.C0 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.

CMS-HCC V28 Category (Payment Model)
HCC 125— Dementia, Severe
Payment HCC · PY 2027 one of 18 ICD-10-CM codes in this category
Risk Adjustment Factor (RAF) Weight
+0.341
community, non-dual, aged · ranges 0.000–0.438 across segments
Hierarchy
Supersedes HCC 126 and HCC 127
less severe related categories are not paid alongside HCC 125
Prior Model (CMS-HCC V24)
HCC 52
V24 retired V28 pays 100% of MA risk scores since PY 2026
Other CMS Models
ESRD (V21): HCC 52 · ESRD (V24): HCC 52
ESRD V21 weights: 0.045 dialysis, 0.000–0.328 functioning graft · ESRD V24 weights: 0.042 dialysis, 0.000–0.399 functioning graft
Part D (RxHCC)
RxHCC 112 — Dementia, Except Alzheimer's Disease
also risk-adjusts in the Part D prescription drug model (V08)

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.C0: its own notes plus those printed at 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.

From F01 Vascular dementia applies to 24 codes
  • arteriosclerotic dementia
  • major neurocognitive disorder due to vascular disease
  • multi-infarct dementia
From Chapter 5 (F01-F99) Mental and behavioural disorders applies to 872 codes
  • 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, severe, NOS
  • Vascular dementia, severe, NOS

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.

From Chapter 5 (F01-F99) Mental and behavioural disorders applies to 872 codes
  • symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)

Code First

The underlying condition named in the note is sequenced before this code.

From F01 Vascular dementia applies to 24 codes
  • if applicable, any causal condition

Notes

General instructions on how these codes are used.

From Block F01-F09 Mental disorders due to known physiological conditions applies to 91 codes
  • 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.C0, its category, or a range that includes it.

Applicable To 1

These notes mention F01.C0.

  • O99.34 Other mental disorders complicating pregnancy, childbirth, and the puerperium
    Conditions in F01-F09, F20-F52 and F54-F99 names F01-F09, which includes this code

Excludes1 2

These codes carry an Excludes1 note naming F01.C0: they are not reported together with it, unless the two conditions are unrelated.

  • F06.7 Mild neurocognitive disorder due to known physiological condition
    dementia (F01.-, F02.-, F03.-) names F01.-, which includes this code
  • G31.84 Mild cognitive impairment of uncertain or unknown etiology
    dementia (F01.-, F02.-, F03.-) names F01.-, which includes this code

Excludes2 4

These codes carry an Excludes2 note naming F01.C0: its condition is not part of those codes, and both may be reported when the patient has both.

  • F02 Dementia in other diseases classified elsewhere
    vascular dementia (F01.5-, F01.A-, F01.B-, F01.C-) names F01.C-, which includes this code
  • F06 Other mental disorders due to known physiological condition
    dementia as classified in F01-F02 names F01-F02, which includes this code
  • F63.1 Pyromania
    mental disorders due to known physiological condition (F01-F09) names F01-F09, which includes this code
  • F63.2 Kleptomania
    stealing in mental disorders due to known physiological condition (F01-F09) names F01-F09, which includes this code

Code Also 1

These codes say F01.C0 may also be needed to fully describe the condition. The note gives no sequencing direction.

  • I67.850 Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy
    vascular dementia (F01.-) names F01.-, which includes this code

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.

CCSR NVS011
Neurocognitive disorders
Default principal diagnosis: inpatient No · outpatient Yes

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

Dementia

Dementia is a loss of mental functions that is severe enough to affect your daily life and activities. These functions include:

The full article covers:

  • What is dementia?
  • What are the types of dementia?
  • Who is at risk for dementia?
  • What are the symptoms of dementia?
  • How is dementia diagnosed?
  • What are the treatments for dementia?
  • Can dementia be prevented?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Code History & ChangesHistory

Replacement F01.C0 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
FY 2023AddedAdded to the ICD-10-CM code setEffective October 1, 2022.
FY 2024–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About F01.C0Overview

Is F01.C0 (Vascular dementia, severe) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report vascular dementia, severe, 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.C0 group to?

When vascular dementia, severe, 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.C0 be reported for?

The Medicare Code Editor checks vascular dementia, severe, 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.

What is coded first with F01.C0?

The Code First note at F01, which applies to F01.C0, reads: if applicable, any causal condition. When one of these applies, it is sequenced before F01.C0.

What HCC is F01.C0?

F01.C0 (vascular dementia, severe, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety) maps to CMS-HCC Category 125 (Dementia, Severe), commonly written as HCC 125, 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.C0 risk-adjust for Medicare Advantage payment?

Yes. When documented and reported on a Medicare Advantage encounter, F01.C0 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). HCC 125 sits at the top of its hierarchy, so no other condition category supersedes it. See the full factor table on the HCC 125 category page.