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:
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.