2026 ICD-10-CM Diagnosis Code F04Amnestic disorder due to known physiological condition

ICD-10-CM CodesF01–F99F01-F09F04

ICD-10-CM F04
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

F04 is a billable ICD-10-CM diagnosis code for amnestic disorder due to known physiological condition. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 884. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Neurocognitive disorders.

F04 no longer risk-adjusts for Medicare Advantage: it mapped to HCC 52 under the retired CMS-HCC V24 model through payment year 2025 but maps to no category in the live V28 model. It still risk-adjusts in the ESRD (V21) category 52, ESRD (V24) category 52, and RxHCC Part D (V08) category 112 for payment year 2026.

Code Identity

ICD-10-CM Code
F04
Billable Status
Yes — Valid for Submission
Code Describes
Amnestic disorder due to known physiological condition
Short Description
Amnestic disorder due to known physiological condition
Same as the full description in the CMS dataset.
Chapter
F01-F09
Mental disorders due to known physiological conditions

Code Classification

ChapterF01–F99Mental and behavioural disorders
SectionF01-F09Mental disorders due to known physiological conditions
CategoryF04Amnestic disorder due to known physiological condition
This CodeF04Amnestic disorder due to known physiological condition

Medicare Risk Adjustment (HCC)Billing

F04 no longer risk-adjusts for Medicare Advantage: it maps to no payment category in the live CMS-HCC V28 model, although it still risk-adjusts in the other CMS models shown below.

CMS-HCC V28 (Medicare Advantage Payment Model)
Not mapped
Dropped in V28 see all codes that no longer risk-adjust
Prior Model (CMS-HCC V24)
HCC 52
V24 retired last contributed to a Medicare Advantage risk score in payment year 2025
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 2026 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.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Amnestic disorder
  • Confabulation
  • Delusional memories
  • Distortion of memory
  • Fantastical confabulation
  • Momentary confabulation
  • Non-alcoholic Korsakoff's psychosis
  • Organic amnesia of language
  • Organic memory impairment

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Korsakov's psychosis or syndrome, nonalcoholic

Code First

  • the underlying physiological condition

Type 1 Excludes

Type 2 Excludes

Index to Diseases and InjuriesGuidance

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR NVS011
Neurocognitive disorders
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Memory

Every day, you have different experiences and you learn new things. Your brain cannot store all of that information, so it has to decide what is worth remembering. Memory is the process of storing and then remembering this information. There are different types of memory. Short-term memory stores information for a few seconds or minutes.

Read the full article at MedlinePlus

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

Convert F04 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
294.0 Amnestic disord oth dis
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About F04Overview

What is the ICD-10 code for amnestic disorder due to known physiological condition?

The ICD-10-CM code for amnestic disorder due to known physiological condition is F04. It is billable on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Is F04 (Amnestic disorder due to known physiological condition) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report amnestic disorder due to known physiological condition on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does F04 group to?

When amnestic disorder due to known physiological condition 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 1.6089. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of F04?

Under the General Equivalence Mappings, amnestic disorder due to known physiological condition converts to ICD-9-CM 294.0 (amnestic disord oth dis). The mapping is approximate, so confirm the match fits the documentation.

Does F04 risk-adjust for Medicare Advantage payment?

Not for Medicare Advantage. F04 mapped to HCC 52 in the retired CMS-HCC V24 model, which last determined payment in 2025, but it maps to no category in the live V28 model; see all codes that no longer risk-adjust. It still risk-adjusts in the ESRD (V21) category 52 (Dementia Without Complication), ESRD (V24) category 52 (Dementia Without Complication), and RxHCC Part D (V08) category 112 (Dementia, Except Alzheimer's Disease).