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ICD-10 Coding for Delusions of Parasitosis(F22.0)

Complete ICD-10-CM coding and documentation guide for Delusions of Parasitosis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Ekbom SyndromeDelusional Parasitosis

Related ICD-10 Code Ranges

Complete code families applicable to Delusions of Parasitosis

F20-F29Primary Range

Schizophrenia, schizotypal, delusional, and other non-mood psychotic disorders

This range includes delusional disorders, with F22.0 specifically for delusional parasitosis.

Diseases of the skin and subcutaneous tissue

Used for coding skin lesions resulting from self-inflicted injuries due to delusions.

Key Information: ICD-10 code for delusions of parasitosis

Essential facts and insights about Delusions of Parasitosis

The ICD-10 code for delusions of parasitosis is F22.0, used for delusional disorders with a fixed belief of infestation.

Primary ICD-10-CM Code for delusions of parasitosis

Delusional disorder
Non-billable Code

Decision Criteria

clinical Criteria

  • Persistent belief in infestation despite negative evidence

documentation Criteria

  • Documented psychiatric evaluation confirming delusional disorder

Applicable To

  • Delusional parasitosis

Excludes

  • Schizophrenia (F20.-)
  • Obsessive-compulsive disorder (F42.-)

Clinical Validation Requirements

  • Fixed belief in infestation despite negative laboratory tests
  • Psychiatric evaluation confirming delusional disorder

Code-Specific Risks

  • Misdiagnosis if not properly differentiated from schizophrenia or OCD

Coding Notes

  • Ensure documentation includes negative test results and psychiatric evaluation.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Disorder of skin and subcutaneous tissue, unspecified

L98.9
For coding skin lesions due to self-inflicted injuries.

Unspecified superficial injury of scalp, initial encounter

S00.93XA
For coding specific injuries like scalp abrasions.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Other somatoform disorders

F45.8
Use if no fixed delusion is present and symptoms resolve with reassurance.

Infestation, unspecified

B88.9
Use only if parasitic infestation is confirmed.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Delusions of Parasitosis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F22.0.

Impact

Clinical: Inaccurate diagnosis and treatment plan., Regulatory: Non-compliance with psychiatric documentation standards., Financial: Potential claim denials due to insufficient documentation.

Mitigation Strategy

Ensure psychiatric evaluations are documented in detail.

Impact

Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.

Mitigation Strategy

Use Z91.14 for refusal of psychiatric care instead.

Impact

Inadequate documentation of psychiatric evaluation and negative test results.

Mitigation Strategy

Ensure comprehensive documentation of all clinical findings and test results.

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 Delusions of Parasitosis, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Delusions of Parasitosis

Use these documentation templates to ensure complete and accurate documentation for Delusions of Parasitosis. These templates include all required elements for proper coding and billing.

Patient with delusional parasitosis

Specialty: Psychiatry

Required Elements

  • Psychiatric assessment
  • Physical examination findings
  • Laboratory test results

Example Documentation

Assessment: F22.0 - Delusional parasitosis. Findings: Fixed belief of 'worms crawling in arms' x8 months. No response to permethrin trial. TACTILE HALLUCINATIONS: 'Biting sensations nightly'. LESIONS: Linear excoriations on bilateral forearms (L98.9). LABS: Negative scabies prep, CBC unremarkable.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient reports bugs under skin.
Good Documentation Example
Fixed belief of parasite infestation for 6+ months unresponsive to evidence. Negative stool O&P, skin biopsy, and KOH prep. No organic cause identified.
Explanation
The good example provides specific details and confirms the absence of medical evidence supporting the delusion.

Need help with ICD-10 coding for Delusions of Parasitosis? Ask your questions below.

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