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Summary of V28 Coding Changes Related to Dementia

Discover what Medicare is changing in 2024 and beyond. If you have older patients, you'll want to learn about HCC mapping, ICD-10 codes, and 20 dementia-related diagnosis codes that are being phased out.

			

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