CodeMap® 
150 North Wacker Drive
Suite 2360
Chicago, IL 60606
847-381-5465 Phone
847-381-4606 Fax
customerservice@codemap.com
      


User Information

Create New Account

Lost Password

Username:
Password:


Quick Links

LCDs and LCAs
by Contractor

PLA Codes

Laboratory Fee Schedule

2025
2024
QW Tests

Physician Fee Schedule

2025
2024

OPPS Fee Schedule

2025-April
2025-January

ASC Fee Schedule

2025-April
2025-January

APC Codes

2025-April
2025-January

DRG Codes

2025
2024

ASP Drug Pricing Files

2025-April
2025-January


CMS Transmittals



.

ICD-10 Code or Description Search:

F03.C4 Quick jump to specific ICD-10 (CM) Code: F05


See Category: Mental, Behavioral and Neurodevelopmental disorders

ICD-10 (CM) Code and Descriptor

F04 Amnestic disorder due to known physiological condition

F04 utilizaton on OPPS claims.*

Primary
ICD10 Code
ICD10
Position 2
ICD10
Position 3
ICD10
Position 4
ICD10
Position 5
ICD10
Position 6
ICD10
Position 7
ICD10
Position 8
ICD10
Position 9
ICD10
Position 10
26.18% 21.31% 15.88% 10.66% 7.09% 4.86% 3.21% 2.02% 2.28% 1.40%

* Medicare Part A utilization data is derived from the 100% 2023 Outpatient (Fee-for-Service) Standard Analytical File.

Commonly Associated Procedure Codes for F04*:

CPT
Description Number of Claims Sum Performed
A9270
NON-COVERED ITEM OR SERVICE 301 661
97110
THERAPEUTIC EXERCISES 116 148
36415
COLL VENOUS BLD VENIPUNCTURE 98 98
Q3014
TELEHEALTH FACILITY FEE 95 95
97530
THERAPEUTIC ACTIVITIES 91 137
G0463
HOSPITAL OUTPT CLINIC VISIT 79 79
80053
COMPREHEN METABOLIC PANEL 74 74
85025
COMPLETE CBC W/AUTO DIFF WBC 71 71
97116
GAIT TRAINING THERAPY 67 80
G0467
FQHC VISIT, ESTAB PT 63 63
70551
MRI BRAIN STEM W/O DYE 58 58
96139
PSYCL/NRPSYC TST TECH EA 56 151
84443
ASSAY THYROID STIM HORMONE 54 54
97112
NEUROMUSCULAR REEDUCATION 48 59
82607
VITAMIN B-12 45 45
U0003
COV-19 AMP PRB HGH THRUPUT 42 42
99213
OFFICE O/P EST LOW 20 MIN 39 39
G0378
HOSPITAL OBSERVATION PER HR 37 866
70450
CT HEAD/BRAIN W/O DYE 32 32
96132
NRPSYC TST EVAL PHYS/QHP 1ST 31 31

* Derived from 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.



F04 related to the following DRG Codes:

884






CodeMap¨ is a Registered Trademark of Wheaton Partners, LLC.