F03.A11 — Unspecified dementia, mild, with agitation
Is F03.A11 billable?
Yes, but F03.A11 is an unspecified code. F03.A11 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, F03.A11 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting F03.A11 — the more specific alternatives are listed below.
More specific alternatives
F03.A11 at a glance
| Code | F03.A11 |
|---|---|
| Description | Unspecified dementia, mild, with agitation |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does F03.A11 group to?
F03.A11 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, F03.A11 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is F03.A11 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to F03.A11. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Dementia › mild › with › aberrant motor behavior (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)
- Dementia › mild › with › agitation (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety)
- Dementia › mild › 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 F03.A11.
- Unspecified dementia, mild, with aberrant motor behavior such as restlessness, rocking, pacing, or exit-seeking
- Unspecified dementia, mild, with verbal or physical behaviors such as profanity, shouting, threatening, anger, aggression, combativeness, or violence
Excludes1 — never code together — inherited from F03.A
The conditions below can never be reported together with F03.A11 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-)
Excludes2 — not included here — inherited from Chapter 5
The conditions below are not part of F03.A11, but a patient may have both at the same time. When documentation supports it, F03.A11 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 F03
The conditions below are not part of F03.A11, but a patient may have both at the same time. When documentation supports it, F03.A11 and the excluded code may both be reported.
How long has F03.A11 existed?
F03.A11 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.