2017/18 ICD-10-CM Diagnosis Code F04

Amnestic disorder due to known physiological condition

Applicable To
  • Korsakov's psychosis or syndrome, nonalcoholic
Code First
Code First Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • the underlying physiological condition
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as F04. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • amnesia NOS (
    ICD-10-CM Diagnosis Code R41.3

    Other amnesia

      2016 2017 2018 Billable/Specific Code
    Applicable To
    • Amnesia NOS
    • Memory loss NOS
    Type 1 Excludes
    • amnestic disorder due to known physiologic condition (F04)
    • amnestic syndrome due to psychoactive substance use (F10-F19 with 5th character .6)
    • mild memory disturbance due to known physiological condition (F06.8)
    • transient global amnesia (G45.4)
    R41.3
    )
  • anterograde amnesia (
    ICD-10-CM Diagnosis Code R41.1

    Anterograde amnesia

      2016 2017 2018 Billable/Specific Code
    R41.1
    )
  • dissociative amnesia (
    ICD-10-CM Diagnosis Code F44.0

    Dissociative amnesia

      2016 2017 2018 Billable/Specific Code
    Type 1 Excludes
    • amnesia NOS (R41.3)
    • anterograde amnesia (R41.1)
    • dissociative amnesia with dissociative fugue (F44.1)
    • retrograde amnesia (R41.2)
    Type 2 Excludes
    • alcohol-or other psychoactive substance-induced amnestic disorder (F10, F13, F19 with .26, .96)
    • amnestic disorder due to known physiological condition (F04)
    • postictal amnesia in epilepsy (G40.-)
    F44.0
    )
  • retrograde amnesia (
    ICD-10-CM Diagnosis Code R41.2

    Retrograde amnesia

      2016 2017 2018 Billable/Specific Code
    R41.2
    )
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (F04) and the excluded code together.
  • alcohol-induced or unspecified Korsakov's syndrome (
    ICD-10-CM Diagnosis Code F10.26

    Alcohol dependence with alcohol-induced persisting amnestic disorder

      2016 2017 2018 Billable/Specific Code
    Applicable To
    • Alcohol use disorder, moderate, with alcohol-induced major neurocognitive disorder, amnestic-confabulatory type
    • Alcohol use disorder, severe, with alcohol-induced major neurocognitive disorder, amnestic-confabulatory type
    F10.26
    ,
    ICD-10-CM Diagnosis Code F10.96

    Alcohol use, unspecified with alcohol-induced persisting amnestic disorder

      2016 2017 2018 Billable/Specific Code
    Applicable To
    • Alcohol-induced major neurocognitive disorder, amnestic-confabulatory type, without use disorder
    F10.96
    )
  • Korsakov's syndrome induced by other psychoactive substances (
    ICD-10-CM Diagnosis Code F13.26

    Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced persisting amnestic disorder

      2016 2017 2018 Billable/Specific Code
    F13.26
    ,
    ICD-10-CM Diagnosis Code F13.96

    Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced persisting amnestic disorder

      2016 2017 2018 Billable/Specific Code
    F13.96
    ,
    ICD-10-CM Diagnosis Code F19.16

    Other psychoactive substance abuse with psychoactive substance-induced persisting amnestic disorder

      2016 2017 2018 Billable/Specific Code
    F19.16
    ,
    ICD-10-CM Diagnosis Code F19.26

    Other psychoactive substance dependence with psychoactive substance-induced persisting amnestic disorder

      2016 2017 2018 Billable/Specific Code
    F19.26
    ,
    ICD-10-CM Diagnosis Code F19.96

    Other psychoactive substance use, unspecified with psychoactive substance-induced persisting amnestic disorder

      2016 2017 2018 Billable/Specific Code
    F19.96
    )
The following code(s) above F04 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to F04:
  • F01-F99
    2018 ICD-10-CM Range F01-F99

    Mental, Behavioral and Neurodevelopmental disorders

    Includes
    • disorders of psychological development
    Type 2 Excludes
    • symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)
    Mental, Behavioral and Neurodevelopmental disorders
  • F01-F09
    2018 ICD-10-CM Range F01-F09

    Mental disorders due to known physiological conditions

    Note
    • This block comprises a range of mental disorders grouped together on the basis of their having in common a demonstrable etiology in cerebral disease, brain injury, or other insult leading to cerebral dysfunction. The dysfunction may be primary, as in diseases, injuries, and insults that affect the brain directly and selectively; or secondary, as in systemic diseases and disorders that attack the brain only as one of the multiple organs or systems of the body that are involved.
    Mental disorders due to known physiological conditions
Approximate Synonyms ICD-10-CM F04 is grouped within Diagnostic Related Group(s) (MS-DRG v35.0):

Convert F04 to ICD-9-CM

Code History
Code annotations containing back-references to F04:

Diagnosis Index entries containing back-references to F04:

ICD-10-CM Codes Adjacent To F04
F01.50 …… without behavioral disturbance
F01.51 …… with behavioral disturbance
F02 Dementia in other diseases classified elsewhere
F02.8 Dementia in other diseases classified elsewhere
F02.80 …… without behavioral disturbance
F02.81 …… with behavioral disturbance
F03 Unspecified dementia
F03.9 Unspecified dementia
F03.90 …… without behavioral disturbance
F03.91 …… with behavioral disturbance
F04 Amnestic disorder due to known physiological condition
F05 Delirium due to known physiological condition
F06 Other mental disorders due to known physiological condition
F06.0 Psychotic disorder with hallucinations due to known physiological condition
F06.1 Catatonic disorder due to known physiological condition
F06.2 Psychotic disorder with delusions due to known physiological condition
F06.3 Mood disorder due to known physiological condition
F06.30 …… unspecified
F06.31 …… with depressive features
F06.32 …… with major depressive-like episode
F06.33 …… with manic features

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.