ICD-10 Coding for Delusional Disorder(F22)
Complete ICD-10-CM coding and documentation guide for Delusional Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Delusional Disorder
F20-F29Primary Range
Schizophrenia, schizotypal, delusional, and other non-mood psychotic disorders
This range includes delusional disorder and related psychotic disorders.
Key Information: ICD-10 code for delusional disorder
Essential facts and insights about Delusional Disorder
Primary ICD-10-CM Code for delusional disorder
Decision Criteria
clinical Criteria
- Delusions present for at least one month without other psychotic symptoms.
coding Criteria
- Do not use if delusions are due to a medical condition.
Applicable To
- Persecutory delusions
- Grandiose delusions
- Erotomanic delusions
- Jealous delusions
- Somatic delusions
Clinical Validation Requirements
- Delusions lasting ≥1 month
- Absence of hallucinations, disorganized speech, or negative symptoms
- Minimal functional decline
Code-Specific Risks
- Misclassification if hallucinations or disorganized speech are present
- Incorrect use if delusions are due to a medical condition
Coding Notes
- Ensure documentation specifies the type of delusion and rules out other psychotic symptoms.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Psychotic disorder with delusions due to known physiological condition
F06.2Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Delusional Disorder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F22.
Impact
Clinical: Misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials or audits.
Mitigation Strategy
Use structured documentation templates., Ensure detailed clinical assessments.
Impact
Reimbursement: Incorrect coding can lead to claim denials., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use F06.2 when delusions are secondary to a medical condition.
Impact
Using F22 instead of F06.2 when delusions are due to a medical condition.
Mitigation Strategy
Implement coding audits and training on proper code selection.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Delusional Disorder, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Delusional Disorder
Use these documentation templates to ensure complete and accurate documentation for Delusional Disorder. These templates include all required elements for proper coding and billing.
Outpatient Psychiatric Evaluation
Specialty: PsychiatryRequired Elements
- Type of delusion
- Duration of symptoms
- Functional impact
- Absence of other psychotic features
- Ruling out medical/substance causes
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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