F01 (Vascular dementia) compared with R40.2412 (Glasgow coma scale score 13-15, at arrival to emergency department), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Distinct conditions — both may be reported.
“symptoms and signs constituting part of a pattern of mental disorder (F01-F99)”
An Excludes2 note means the excluded condition is not part of the code above it, but a patient can have both. Report both when both are documented.
Source: CMS ICD-10-CM tabular instructional notes
Yes, when both are documented. R40.2412 carries an Excludes2 note covering F01: “symptoms and signs constituting part of a pattern of mental disorder (F01-F99)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
| F01Vascular dementia | R40.2412Glasgow coma scale score 13-15, at arrival to emergency department | |
|---|---|---|
| Billing status | Non-billable header | Billable |
| Classification | F01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99) | R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99) |
| Definition | Vascular dementia is a non-billable ICD-10-CM category code (F01). | Glasgow coma scale score 13-15, at arrival to emergency department is a billable ICD-10-CM diagnosis code (R40.2412). |
| 7th character | — | The following appropriate 7th character is to be added to subcategory R40.24-: |
| Includes | arteriosclerotic dementia major neurocognitive disorder due to vascular disease multi-infarct dementia Vascular dementia as a result of infarction of the brain due to vascular disease, including hypertensive cerebrovascular disease. | — |
| Code first | , if applicable, any causal condition | any associated: fracture of skull (S02.-) |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources