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F03.A11 vs F06.7

F03.A11 (Unspecified dementia, mild, with agitation) compared with F06.7 (Mild neurocognitive disorder due to known physiological condition), from the official CMS tabular data.

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources

Summary

These codes should not be reported together because F03.A11’s tabular entry lists F06.7 under Excludes1.

Official rule
What is different?

The conditions named and billing status.F03.A11 is “Unspecified dementia, mild, with agitation”; F06.7 is “Mild neurocognitive disorder due to known physiological condition”. F06.7 is a non-billable header; F03.A11 is billable.

Registry fact

Can these codes be reported together?

No.F03.A11’s entry carries an Excludes1 note covering F06.7: “mild neurocognitive disorder due to known physiological condition with or without behavioral disturbance (F06.7-)”. Both may be reported only when the documentation shows the two conditions are unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Official ruleGuide: Excludes1 vs Excludes2

Is there an Excludes1 relationship?

Yes.F03.A11’s tabular entry: “mild neurocognitive disorder due to known physiological condition with or without behavioral disturbance (F06.7-)”. The note covers F06.7.

Official ruleGuide: Excludes1 vs Excludes2

Is there an Excludes2 relationship?

None.Neither entry carries an Excludes2 note that names the other code. F03.A11 carries 2 Excludes2 notes and F06.7 carries 3 Excludes2 notes covering other codes; the side-by-side table quotes them.

Official rule

Is one more specific?

Not comparable.The codes sit in different categories; specificity is only comparable within one category.

Is one a parent or header code?

One is a header.F06.7 is a non-billable header, but F03.A11 is not one of its subdivisions.

Registry fact

Are there sequencing instructions?

None.Neither entry carries a Code First or Use Additional Code note that names the other.

Official rule

Are there other coding relationships?

None found.No laterality, encounter-phase, Table of Neoplasms, Table of Drugs and Chemicals, or history-versus-active-disease relationship links these codes.

MedCoder-derived

Official rule: a tabular instructional note or a section of the ICD-10-CM Official Guidelines, quoted as published. Registry fact: the codes’ own published attributes (titles, billable status, position in the hierarchy, code set). MedCoder-derived: a reading MedCoder computes from those facts; it is not itself a rule. How to read the labels

Can these codes be reported together?

Excludes1 — generally not reported together

Excludes1 conflict

F03.A11
Unspecified dementia, mild, with agitation
↔
F06.7
Mild neurocognitive disorder due to known physiological condition

What we found

No — do not report together.F03.A11 carries an Excludes1 note covering F06.7: “mild neurocognitive disorder due to known physiological condition with or without behavioral disturbance (F06.7-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

What to review

Report one of the two. Both may be reported only when the documentation shows the two conditions are unrelated to each other.

Guide: Excludes1 vs Excludes2Check these on a claim

Why it matters

An Excludes1 note means the two conditions are not ordinarily reported together for the same encounter, because the classification treats them as mutually exclusive forms of the same condition. The documented exception is when the two conditions are unrelated to each other.

Source / rule

CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a

Official guidance behind these answers

  • Section I.A.12.a — Excludes1 · applies to: Excludes1

    A type 1 Excludes note is a pure excludes note. It means “NOT CODED HERE!” An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition. An exception to the Excludes1 definition is the circumstance when the two conditions are unrelated to each other. If it is not clear whether the two conditions involving an Excludes1 note are related or not, query the provider. For example, code F45.8, Other somatoform disorders, has an Excludes1 note for "sleep related teeth grinding (G47.63)," because "teeth grinding" is an inclusion term under F45.8. Only one of these two codes should be assigned for teeth grinding. However psychogenic dysmenorrhea is also an inclusion term under F45.8, and a patient could have both this condition and sleep related teeth grinding. In this case, the two conditions are clearly unrelated to each other, and so it would be appropriate to report F45.8 and G47.63 together.

    ICD-10-CM Official Guidelines FY2027

Quoted from the ICD-10-CM Official Guidelines for Coding and Reporting in effect for the release shown. The tabular notes above are the code-level instruction; these sections are the convention that says how such a note is applied. Source document (CMS PDF) · Release and checksum

Side by side

F03.A11Unspecified dementia, mild, with agitationF06.7Mild neurocognitive disorder due to known physiological condition
Billing statusBillableNon-billable header

Report instead: F06.70, F06.71

ClassificationF01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99)F01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99)
DefinitionUnspecified dementia, mild, with agitation is a billable ICD-10-CM diagnosis code (F03.A11).Mild neurocognitive disorder due to known physiological condition is a non-billable ICD-10-CM category code (F06.7).
Includes
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
mental disorders due to endocrine disorder
mental disorders due to exogenous hormone
mental disorders due to exogenous toxic substance
mental disorders due to primary cerebral disease
Excludes1
mild neurocognitive disorder due to known physiological condition with or without behavioral disturbance (F06.7-)
age related cognitive decline (R41.81)
altered mental status (R41.82)
cerebral degeneration (G31.9)
change in mental status (R41.82)
cognitive deficits following (sequelae of) cerebral hemorrhage or infarction (I69.01-I69.11-, I69.21-I69.31-, I69.81- I69.91-)
dementia (F01.-, F02.-, F03.-)
mild cognitive impairment due to unknown or unspecified etiology (G31.84)
neurologic neglect syndrome (R41.4)
personality change, nonpsychotic (F68.8)
unspecified dementia (F03.-)
Excludes2
dementia with delirium or acute confusional state (F05)
mild memory disturbance due to known physiological condition (F06.8)
delirium due to known physiological condition (F05)
dementia as classified in F01-F02
other mental disorders associated with alcohol and other psychoactive substances (F10-F19)
Code first—
the underlying physiological condition, such as:
Alzheimer's disease (G30.-)

Notes are the code’s own tabular entry, quoted as published. A note that names the other code is the one the verdict above rests on.

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Derived from the official CMS ICD-10-CM tabular data (FY2027). A coding-rule comparison, not billing advice: payer-specific edits and medical-necessity policy are outside its scope. All data sources