Are there age restrictions for ICD-10-CM code F03.94?

Yes, this code is restricted to patients between the ages of 15 and 124 years.

Is F03.94 a mental health diagnosis?

Yes, code F03.94 is identified as a mental health diagnosis.

Is F03.94 an acceptable principal diagnosis?

No, code F03.94 is identified as an unacceptable principal diagnosis (Edit 113) due to OPPS coding requirements. However, this exclusion is ignored for specific bill types (12x, 22x, 81x, 82x).

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Medical Coding
ICD-10-CM
Chapter 5
F03.94

F03.94 Billable Code

Unspecified dementia, unspecified severity, with anxiety

Effective From: 10/01/2022

Chapter Classification

Chapter 5 Mental, Behavioral and Neurodevelopmental disorders (F01-F99)

Section Detail

F01-F09 Mental disorders due to known physiological conditions (F01-F09)

Code Hierarchy

This code is a child of F03.9.

OPPS Editing Flags

Age Restrictions Ages 15 to 124

External Cause No

Mental Health Yes

Manifestation (Edit 89) No

Code First Applicable ?This code represents a manifestation of an underlying disease. The underlying condition must be coded first as the principal diagnosis. No

Unacceptable PDX (Edit 113) Yes

PDX Exclusion Logic

OPPS Required: Yes
Bill Type Override: Yes

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