ICD-10 F04: Amnestic disorder due to known physiological condition
Using ICD-10 F04 on a Superbill
ICD-10 code F04 (Amnestic disorder due to known physiological condition) is a organic mental disorders code used on superbills for mental health therapy billing. Insurance companies require at least one ICD-10 code per superbill to process a reimbursement claim.
CPT Codes Commonly Used With F04
Common CPT codes paired with ICD-10 F04 include 90837 (60-min psychotherapy), 90834 (45-min psychotherapy), and 90791 (initial psychiatric evaluation). The CPT code reflects the service rendered, not the diagnosis.
Clinical Criteria
Significant memory impairment in the absence of other cognitive impairments, directly attributable to the physiological effects of a medical condition (e.g., thiamine deficiency in Korsakoff syndrome, anoxia, herpes encephalitis). Impaired ability to learn new information or recall previously learned information.
DSM-5 Cross-Reference
DSM-5 — Major Neurocognitive Disorder Due to Another Medical Condition (amnestic variant)