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 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 |