Speech-Language Pathology ICD-10-CM Code Changes for 2023

The following new and revised ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification) codes are effective October 1, 2022, for fiscal year (FY) 2023. ICD-10-CM codes are updated annually. For past updates, see speech-language pathology ICD-10-CM code changes for 2022 and 2021.

There are no major changes to ICD-10-CM codes directly related to speech, language, cognitive, swallowing, or voice disorders for FY 2023. However, speech-language pathologists (SLPs) should be aware that the 2023 ICD-10-CM significantly expands Chapter 5 (Mental, Behavioral and Neurodevelopmental Disorders) with new codes describing dementia (F01-F03) and mild neurocognitive disorder (F06.7-).

Note: Always check with payers regarding coverage of new or revised ICD-10-CM codes. Coding changes may not always alter payer coverage decisions for specific conditions.

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Dementia and Mild Neurocognitive Disorder
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Dementia and Mild Neurocognitive Disorder

Over 80 new and revised codes provide greater specificity based on etiology and levels of severity (mild, moderate, severe, or unspecified). The following examples are not exhaustive. For a full list of changes, see page 10 of the 2023 ICD-10-CM tabular addenda [ZIP].

F01.54	Vascular dementia, unspecified severity, with anxiety (new code) Major neurocognitive disorder due to vascular disease, unspecified severity, with anxiety
F02.A0	Dementia in other diseases classified elsewhere, mild, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety (new code) Dementia in other diseases classified elsewhere, mild, NOS Major neurocognitive disorder in other diseases classified elsewhere, mild, NOS
F02.C2	Dementia in other diseases classified elsewhere, severe, with psychotic disturbance (new code) Dementia in other diseases classified elsewhere, severe, with psychotic disturbance such as hallucinations, paranoia, suspiciousness, or delusional state Major neurocognitive disorder in other diseases classified elsewhere, severe, with psychotic disturbance such as hallucinations, paranoia, suspiciousness, or delusional state
F03.B11	Unspecified dementia, moderate, with agitation (new code) Unspecified dementia, moderate, with aberrant motor behavior such as restlessness, rocking, pacing, or exit-seeking Unspecified dementia, moderate, with verbal or physical behaviors such as profanity, shouting, threatening, anger, aggression, combativeness, or violence
F06.70	Mild neurocognitive disorder due to known physiological condition without behavioral disturbance (new code) Mild neurocognitive disorder due to known physiological condition, NOS

ASHA Notes

SLPs may use these new and updated ICD-10-CM codes to provide additional detail regarding coexisting conditions related to the speech, language cognitive, swallowing, or voice disorder.
The F06.7- series of codes may not be reported in conjunction with several other codes related to cognition, such as age-related cognitive decline (R41.81), cognitive deficits following stroke (I69- series), or mild cognitive impairment due to unknown or unspecified etiology (G31.84).
Consult the medical record or referring physician before reporting dementia or mild neurocognitive disorder in addition to the treating diagnosis on the claim.