ICD-10-CM Codes
F01-F99
F01-F09
F04-
2023 ICD-10-CM Diagnosis Code F04

2023 ICD-10-CM Diagnosis Code F04

Amnestic disorder due to known physiological condition

2016

2017

2018

2019

2020

2021

2022

2023

Billable/Specific Code

F04 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
The 2023 edition of ICD-10-CM F04 became effective on October 1, 2022.
This is the American ICD-10-CM version of F04 - other international versions of ICD-10 F04 may differ.

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
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
R41.1
)
dissociative amnesia (
ICD-10-CM Diagnosis Code F44.0
Dissociative amnesia
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
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
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
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
F13.26
,
ICD-10-CM Diagnosis Code F13.96
Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced persisting amnestic disorder
F13.96
,
ICD-10-CM Diagnosis Code F19.16
Other psychoactive substance abuse with psychoactive substance-induced persisting amnestic disorder
F19.16
,
ICD-10-CM Diagnosis Code F19.26
Other psychoactive substance dependence with psychoactive substance-induced persisting amnestic disorder
F19.26
,
ICD-10-CM Diagnosis Code F19.96
Other psychoactive substance use, unspecified with psychoactive substance-induced persisting amnestic disorder
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
2023 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
2023 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

Amnesia due to a general medical condition
Amnestic disorder due to medical disorder
Amnestic syndrome, confabulatory
Confabulation
Confabulatory amnestic disorder
Korsakoff syndrome, nonalcoholic
Non-alcoholic korsakoff's psychosis
Nonalcoholic korsakoff syndrome

ICD-10-CM F04 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):

884 Organic disturbances and intellectual disability

Convert F04 to ICD-9-CM

Code History

2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
2017 (effective 10/1/2016): No change
2018 (effective 10/1/2017): No change
2019 (effective 10/1/2018): No change
2020 (effective 10/1/2019): No change
2021 (effective 10/1/2020): No change
2022 (effective 10/1/2021): No change
2023 (effective 10/1/2022): No change

Code annotations containing back-references to F04:

Type 1 Excludes: R41.3

ICD-10-CM Diagnosis Code R41.3
Other amnesia
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)
Type 2 Excludes: F44.0

ICD-10-CM Diagnosis Code F44.0
Dissociative amnesia
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.-)

Diagnosis Index entries containing back-references to F04:

Amentia - see Disability, intellectual
- Meynert's F04 (nonalcoholic)
Amnes (t)ic syndrome (post-traumatic) F04
Disease, diseased - see also Syndrome
- Korsakoff's (nonalcoholic) F04
Disorder (of) - see also Disease
- amnesic, amnestic
  - due to F04 (secondary to)
Korsakoff's (Wernicke) disease, psychosis or syndrome (alcoholic) F10.96
ICD-10-CM Diagnosis Code F10.96
Alcohol use, unspecified with alcohol-induced persisting amnestic disorder
Applicable To
Alcohol-induced major neurocognitive disorder, amnestic-confabulatory type, without use disorder
- nonalcoholic F04
Meynert's amentia (nonalcoholic) F04
Psychosis, psychotic F29
ICD-10-CM Diagnosis Code F29
Unspecified psychosis not due to a substance or known physiological condition
Applicable To
Psychosis NOS
Unspecified schizophrenia spectrum and other psychotic disorder
Type 1 Excludes
mental disorder NOS (F99)
unspecified mental disorder due to known physiological condition (F09)
- Korsakoff's, Korsakov's, Korsakow's (nonalcoholic) F04
Syndrome - see also Disease
- Korsakoff (-Wernicke) (nonalcoholic) F04
- organic
  - amnesic F04 (not alcohol- or drug-induced)
- Wernicke-Korsakoff (nonalcoholic) F04
Toxemica cerebropathia psychica (nonalcoholic) F04
Wernicke-Korsakoff's syndrome or psychosis (alcoholic) F10.96
ICD-10-CM Diagnosis Code F10.96
Alcohol use, unspecified with alcohol-induced persisting amnestic disorder
Applicable To
Alcohol-induced major neurocognitive disorder, amnestic-confabulatory type, without use disorder
- nonalcoholic F04

ICD-10-CM Codes Adjacent To F04

F03.B3 …… with mood disturbance

F03.B4 …… with anxiety

F03.C Unspecified dementia, severe

F03.C0 …… without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety

F03.C1 Unspecified dementia, severe, with behavioral disturbance

F03.C11 Unspecified dementia, severe, with agitation

F03.C18 Unspecified dementia, severe, with other behavioral disturbance

F03.C2 …… with psychotic disturbance

F03.C3 …… with mood disturbance

F03.C4 …… with anxiety

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.

2023 ICD-10-CM Diagnosis Code F04

Amnestic disorder due to known physiological condition

Other amnesia

Anterograde amnesia

Dissociative amnesia

Retrograde amnesia

Alcohol dependence with alcohol-induced persisting amnestic disorder

Alcohol use, unspecified with alcohol-induced persisting amnestic disorder

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

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

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

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

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

Mental, Behavioral and Neurodevelopmental disorders

Mental disorders due to known physiological conditions

Other amnesia

Dissociative amnesia

Alcohol use, unspecified with alcohol-induced persisting amnestic disorder

Unspecified psychosis not due to a substance or known physiological condition

Alcohol use, unspecified with alcohol-induced persisting amnestic disorder