F02.B11 — Dementia in other diseases classified elsewhere, moderate, with agitation
Is F02.B11 billable?
Yes — F02.B11 is billable for FY2027. F02.B11 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. F02.B11 may be submitted for encounters from October 1, 2026 through September 30, 2027.
F02.B11 at a glance
| Code | F02.B11 |
|---|---|
| Description | Dementia in other diseases classified elsewhere, moderate, with agitation |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
What Medicare edits apply to F02.B11?
The Medicare Code Editor screens inpatient claims before they are grouped. These edits name F02.B11 directly.
This code describes a manifestation of an underlying disease. The underlying condition must be sequenced before it, so it can never be the principal or first-listed diagnosis.
Which MS-DRGs does F02.B11 group to?
F02.B11 sits in MDC 19 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 884Organic Disturbances and Intellectual Disabilitymedical
As a secondary diagnosis, F02.B11 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is F02.B11 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to F02.B11. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Dementia › in › diseases specified elsewhere › moderate › with › aberrant motor behavior (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)
- Dementia › in › diseases specified elsewhere › moderate › with › agitation (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)
- Dementia › in › diseases specified elsewhere › moderate › with › verbal or physical behaviors (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)
Inclusion terms
Alternative wording in documentation that is classified to F02.B11.
- Dementia in other diseases classified elsewhere, moderate, with aberrant motor behavior such as restlessness, rocking, pacing, or exit-seeking
- Dementia in other diseases classified elsewhere, moderate, with verbal or physical behaviors such as profanity, shouting, threatening, anger, aggression, combativeness, or violence
- Major neurocognitive disorder in other diseases classified elsewhere, moderate, with aberrant motor behavior such as restlessness, rocking, pacing, or exit-seeking
- Major neurocognitive disorder in other diseases classified elsewhere, moderate, with verbal or physical behaviors such as profanity, shouting, threatening, anger, aggression, combativeness, or violence
Excludes1 — never code together — inherited from F02
The conditions below can never be reported together with F02.B11 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- mild neurocognitive disorder due to known physiological condition with or without behavioral disturbance (F06.7-)
Code first — inherited from F02
The underlying condition below must be sequenced before F02.B11. F02.B11 describes a manifestation and cannot be the principal or first-listed diagnosis.
- the underlying physiological condition, such as:
- Alzheimer's (G30.-)
- cerebral lipidosis (E75.4)
- Creutzfeldt-Jakob disease (A81.0-)
- epilepsy and recurrent seizures (G40.-)
- hepatolenticular degeneration (E83.01)
- human immunodeficiency virus [HIV] disease (B20)
- Huntington's disease (G10)
- hypercalcemia (E83.52)
- hypothyroidism, acquired (E00-E03.-)
- intoxications (T36-T65)
- Jakob-Creutzfeldt disease (A81.0-)
- multiple sclerosis (G35-)
- neurocognitive disorder with Lewy bodies (G31.83)
- neurosyphilis (A52.17)
- niacin deficiency [pellagra] (E52)
- other frontotemporal neurocognitive disorder (G31.09)
- Parkinson's disease (G20.-)
- Pick's disease (G31.01)
- polyarteritis nodosa (M30.0)
- prion disease (A81.9)
- systemic lupus erythematosus (M32.-)
- traumatic brain injury (S06.-)
- trypanosomiasis (B56.-, B57.-)
- vitamin B deficiency (E53.8)
Excludes2 — not included here — inherited from Chapter 5
The conditions below are not part of F02.B11, but a patient may have both at the same time. When documentation supports it, F02.B11 and the excluded code may both be reported.
- symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)
Excludes2 — not included here — inherited from F02
The conditions below are not part of F02.B11, but a patient may have both at the same time. When documentation supports it, F02.B11 and the excluded code may both be reported.
How long has F02.B11 existed?
F02.B11 first appears in FY2023.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.