Summary of V28 Coding Changes Related to Dementia

Published on September 5, 2024 17 min read

For a detailed discussion of the V24 to V28 coding transition and its impact on the dementia care landscape, read Neurotrack’s blog post here.

Use the tables below to review:

ICD-10 diagnoses that map to new dementia HCC codes, in this order
- 127 (Dementia, Mild or Unspecified)
- 126 (Dementia, Moderate)
- 125 (Dementia, Severe)
ICD-10 diagnoses that no longer map to dementia HCCs introduced in V28

ICD-10 DX CODE	DIAGNOSES IN V28 HCC 127 GROUP: DEMENTIA, MILD OR UNSPECIFIED
A8100	Creutzfeldt-Jakob disease, unspecified
A8101	Variant Creutzfeldt-Jakob disease
A8109	Other Creutzfeldt-Jakob disease
A811	Subacute sclerosing panencephalitis
A812	Progressive multifocal leukoencephalopathy
A8181	Kuru
A8182	Gerstmann-Straussler-Scheinker syndrome
A8183	Fatal familial insomnia
A8189	Other atypical virus infections of central nervous system
A819	Atypical virus infection of central nervous system, unspecified
F0150	Vascular dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety
F0151	Vascular dementia with behavioral disturbance
F01511	Vascular dementia, unspecified severity, with agitation
F01518	Vascular dementia, unspecified severity, with other behavioral disturbance
F0152	Vascular dementia, unspecified severity, with psychotic disturbance
F0153	Vascular dementia, unspecified severity, with mood disturbance
F0154	Vascular dementia, unspecified severity, with anxiety
F01A0	Vascular dementia, mild, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety
F01A11	Vascular dementia, mild, with agitation
F01A18	Vascular dementia, mild, with other behavioral disturbance
F01A2	Vascular dementia, mild, with psychotic disturbance
F01A3	Vascular dementia, mild, with mood disturbance
F01A4	Vascular dementia, mild, with anxiety
F0280	Dementia in other diseases classified elsewhere, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety
F0281	Dementia in other diseases classified elsewhere with behavioral disturbance
F02811	Dementia in other diseases classified elsewhere, unspecified severity, with agitation
F02818	Dementia in other diseases classified elsewhere, unspecified severity, with other behavioral disturbance
F0282	Dementia in other diseases classified elsewhere, unspecified severity, with psychotic disturbance
F0283	Dementia in other diseases classified elsewhere, unspecified severity, with mood disturbance
F0284	Dementia in other diseases classified elsewhere, unspecified severity, with anxiety
F02A0	Dementia in other diseases classified elsewhere, mild, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety
F02A11	Dementia in other diseases classified elsewhere, mild, with agitation
F02A18	Dementia in other diseases classified elsewhere, mild, with other behavioral disturbance
F02A2	Dementia in other diseases classified elsewhere, mild, with psychotic disturbance
F02A3	Dementia in other diseases classified elsewhere, mild, with mood disturbance
F02A4	Dementia in other diseases classified elsewhere, mild, with anxiety
F0390	Unspecified dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety
F0391	Unspecified dementia with behavioral disturbance
F03911	Unspecified dementia, unspecified severity, with agitation
F03918	Unspecified dementia, unspecified severity, with other behavioral disturbance
F0392	Unspecified dementia, unspecified severity, with psychotic disturbance
F0393	Unspecified dementia, unspecified severity, with mood disturbance
F0394	Unspecified dementia, unspecified severity, with anxiety
F03A0	Unspecified dementia, mild, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety
F03A11	Unspecified dementia, mild, with agitation
F03A18	Unspecified dementia, mild, with other behavioral disturbance
F03A2	Unspecified dementia, mild, with psychotic disturbance
F03A3	Unspecified dementia, mild, with mood disturbance
F03A4	Unspecified dementia, mild, with anxiety
G300	Alzheimer's disease with early onset
G301	Alzheimer's disease with late onset
G308	Other Alzheimer's disease
G309	Alzheimer's disease, unspecified
G3101	Pick's disease
G3109	Other frontotemporal neurocognitive disorder
G3181	Alpers disease
G3182	Leigh's disease
G3183	Neurocognitive disorder with Lewy bodies
G910	Communicating hydrocephalus
G911	Obstructive hydrocephalus
G912	(Idiopathic) normal pressure hydrocephalus
G913	Post-traumatic hydrocephalus, unspecified
G914	Hydrocephalus in diseases classified elsewhere
G918	Other hydrocephalus
G919	Hydrocephalus, unspecified
G937	Reye's syndrome
I673	Progressive vascular leukoencephalopathy

ICD-10 DX CODE	DIAGNOSES IN HCC 126 GROUP: DEMENTIA, MODERATE
F01B0	Vascular dementia, moderate, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety
F01B11	Vascular dementia, moderate, with agitation
F01B18	Vascular dementia, moderate, with other behavioral disturbance
F01B2	Vascular dementia, moderate, with psychotic disturbance
F01B3	Vascular dementia, moderate, with mood disturbance
F01B4	Vascular dementia, moderate, with anxiety
F02B0	Dementia in other diseases classified elsewhere, moderate, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety
F02B11	Dementia in other diseases classified elsewhere, moderate, with agitation
F02B18	Dementia in other diseases classified elsewhere, moderate, with other behavioral disturbance
F02B2	Dementia in other diseases classified elsewhere, moderate, with psychotic disturbance
F02B3	Dementia in other diseases classified elsewhere, moderate, with mood disturbance
F02B4	Dementia in other diseases classified elsewhere, moderate, with anxiety
F03B0	Unspecified dementia, moderate, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety
F03B11	Unspecified dementia, moderate, with agitation
F03B18	Unspecified dementia, moderate, with other behavioral disturbance
F03B2	Unspecified dementia, moderate, with psychotic disturbance
F03B3	Unspecified dementia, moderate, with mood disturbance
F03B4	Unspecified dementia, moderate, with anxiety

ICD-10 DX CODE	DIAGNOSES IN HCC 125 GROUP: DEMENTIA, SEVERE
F01C0	Vascular dementia, severe, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety
F01C11	Vascular dementia, severe, with agitation
F01C18	Vascular dementia, severe, with other behavioral disturbance
F01C2	Vascular dementia, severe, with psychotic disturbance
F01C3	Vascular dementia, severe, with mood disturbance
F01C4	Vascular dementia, severe, with anxiety
F02C0	Dementia in other diseases classified elsewhere, severe, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety
F02C11	Dementia in other diseases classified elsewhere, severe, with agitation
F02C18	Dementia in other diseases classified elsewhere, severe, with other behavioral disturbance
F02C2	Dementia in other diseases classified elsewhere, severe, with psychotic disturbance
F02C3	Dementia in other diseases classified elsewhere, severe, with mood disturbance
F02C4	Dementia in other diseases classified elsewhere, severe, with anxiety
F03C0	Unspecified dementia, severe, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety
F03C11	Unspecified dementia, severe, with agitation
F03C18	Unspecified dementia, severe, with other behavioral disturbance
F03C2	Unspecified dementia, severe, with psychotic disturbance
F03C3	Unspecified dementia, severe, with mood disturbance
F03C4	Unspecified dementia, severe, with anxiety

ICD-10 DX CODE	DIAGNOSES REMOVED FROM DEMENTIA-RELATED HCCS IN V28	HCC V24	HCC V28
E7500	GM2 gangliosidosis, unspecified	52	N/A
E7501	Sandhoff disease	52	N/A
E7502	Tay-Sachs disease	52	N/A
E7509	Other GM2 gangliosidosis	52	N/A
E7510	Unspecified gangliosidosis	52	N/A
E7511	Mucolipidosis IV	52	N/A
E7519	Other gangliosidosis	52	N/A
E7523	Krabbe disease	52	N/A
E7525	Metachromatic leukodystrophy	52	N/A
E7526	Sulfatase deficiency	52	N/A
E7529	Other sphingolipidosis	52	N/A
E754	Neuronal ceroid lipofuscinosis	52	N/A
F04	Amnestic disorder due to known physiological condition	52	N/A
G132	Systemic atrophy primarily affecting the central nervous system in myxedema	52	N/A
G138	Systemic atrophy primarily affecting central nervous system in other diseases classified elsewhere	52	N/A
G311	Senile degeneration of brain, not elsewhere classified	52	N/A
G312	Degeneration of nervous system due to alcohol	52	N/A
G3185	Corticobasal degeneration	52	N/A
G3189	Other specified degenerative diseases of nervous system	52	N/A
G319	Degenerative disease of nervous system, unspecified	52	N/A

Summary of V28 Coding Changes Related to Dementia

Solutions

Company

Resources

Call us

Email us

For more options

Summary of V28 Coding Changes Related to Dementia

Related reading

How Medicare V28 Coding Changes May Affect Dementia Detection

The best way to illustrate the potential impact of the CMS-HCC V28 changes on dementia care is to...

Neurotrack Awarded $3.3 Million Grant from National Institute on Aging to Study the Impact of its Cognitive Health Digital Therapeutic

(PRESS RELEASE) Neurotrack, an innovative digital health company on a mission to transform the...

The CMS GUIDE Model and Cognitive Testing

In summer 2023, Centers for Medicare Services (CMS) announced the GUIDE Model, a new voluntary care...