Neurocognitive & Organic Disorders

F04 ICD-10-CM

Amnestic disorder due to known physiological condition

Category

Neurocognitive & Organic Disorders

Billing status

Billable / specific code

Billable

Code set

ICD-10-CM diagnosis

ICD-10-CM code F04 describes amnestic disorder due to known physiological condition. Memory impairment caused by an identified medical condition or substance, distinct from dissociative amnesia. It is a billable, specific code valid for claim submission. It is grouped under the “Neurocognitive & Organic Disorders” section of the mental, behavioral, and neurodevelopmental disorders chapter.

When to use F04

Assign a code in this group when a mental or behavioral disturbance is caused by a known physiological condition, such as delirium, dementia, or another organic mental disorder. Base the selection on the documented medical workup and the specific cognitive or behavioral presentation. For F04 specifically, memory impairment caused by an identified medical condition or substance, distinct from dissociative amnesia.

Documentation & billing

Document the underlying etiology, the cognitive or behavioral findings, and whether a behavioral disturbance is present. Pair with an etiology code (for example Alzheimer disease G30.9 or a cerebrovascular code) when the cause is identified.

Common pitfalls

  • Coding dementia without documenting whether a behavioral disturbance is present.
  • Omitting the underlying etiology code when the cause is known.
  • Confusing acute delirium (F05) with chronic dementia.

Common search terms for F04

Clinicians often look up F04 using plain-language terms. This code maps to:

amnesia
amnestic disorder
memory loss

Frequently asked questions

What is ICD-10-CM code F04?

Amnestic disorder due to known physiological condition. Memory impairment caused by an identified medical condition or substance, distinct from dissociative amnesia.

Is F04 a billable ICD-10-CM code?

Yes. F04 (Amnestic disorder due to known physiological condition) is a billable, specific ICD-10-CM code that can be reported on a claim. Confirm the current official descriptor against the CDC code set and your payer’s policies before submitting.

What should I document to support F04?

Document the underlying etiology, the cognitive or behavioral findings, and whether a behavioral disturbance is present. Pair with an etiology code (for example Alzheimer disease G30.9 or a cerebrovascular code) when the cause is identified.

Related Neurocognitive & Organic Disorders codes

Pair this code with a billing tool

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