F03.A11 ICD-10-CM Code: Unspecified dementia, mild, with agitation
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Inpatient Payment Groups (MS-DRG)
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0 (FY2026), Appendix B.
- MS-DRG 884 — ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY (MDC 19)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Risk Adjustment (CMS-HCC)
Payment categories this diagnosis maps to under CMS-HCC V28, payment year 2026.
- HCC 127 — Dementia, Mild or Unspecified
Other models: RxHCC V08 HCC 112
Risk scores depend on the enrollee's full accepted diagnosis set and segment; a category mapping alone does not determine payment.
Code Set: Valid FY2026 and FY2027. FY2026 took effect October 1, 2025.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for F03.A11 in the official ICD-10-CM tabular list.
Inclusion Terms
Alternative terms the tabular list files under this code.
- 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 — Not Coded Here
Conditions that can never be reported with this code; the two are mutually exclusive.
- mild neurocognitive disorder due to known physiological condition with or without behavioral disturbance (F06.7-)
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- dementia with delirium or acute confusional state (F05)
- mild memory disturbance due to known physiological condition (F06.8)
Nearest Codes in This Family
Official ICD-10-CM classifications closest to F03.A11 in its code family, with their registry titles.
- F03.93 — Unspecified dementia, unspecified severity, with mood disturbance
- F03.94 — Unspecified dementia, unspecified severity, with anxiety
- F03.A — Unspecified dementia, mild
- F03.A0 — Unspecified dementia, mild, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety
- F03.A1 — Unspecified dementia, mild, with behavioral disturbance
- F03.A18 — Unspecified dementia, mild, with other behavioral disturbance
- F03.A2 — Unspecified dementia, mild, with psychotic disturbance
- F03.A3 — Unspecified dementia, mild, with mood disturbance
- F03.A4 — Unspecified dementia, mild, with anxiety
- F03.B — Unspecified dementia, moderate
Indexed Clinical Terms (3)
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.
- Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety), mild, with, aberrant motor behavior (exit-seeking) (pacing) (restlessness) (rocking)
- Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety), mild, with, agitation
- Dementia (degenerative (primary)) (persisting) (unspecified severity) (without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety), mild, with, verbal or physical behaviors (anger) (aggression) (combativeness) (profanity) (shouting) (threatening) (violence)