ICD-10 Coding for Paranoia(F20.0, F22, F60.0, F01.518, F10.950)
Complete ICD-10-CM coding and documentation guide for Paranoia. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Paranoia
F20-F29Primary Range
Schizophrenia, schizotypal, delusional, and other non-mood psychotic disorders
This range includes primary codes for conditions where paranoia is a key symptom, such as paranoid schizophrenia and delusional disorders.
Disorders of adult personality and behavior
Includes paranoid personality disorder, which is characterized by pervasive distrust and suspicion.
Mental disorders due to known physiological conditions
Includes codes for paranoia associated with conditions like vascular dementia.
Mental and behavioral disorders due to psychoactive substance use
Covers paranoia induced by substances such as alcohol.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F20.0 | Paranoid schizophrenia | Use when paranoia is part of schizophrenia with delusions and hallucinations. |
|
| F22 | Delusional disorders | Use when paranoia is characterized by non-bizarre delusions without hallucinations. |
|
| F60.0 | Paranoid personality disorder | Use when paranoia is part of a personality disorder without psychosis. |
|
| F01.518 | Vascular dementia with behavioral disturbance | Use when paranoia is associated with vascular dementia. |
|
| F10.950 | Alcohol-induced psychotic disorder with delusions | Use when paranoia is directly related to alcohol intoxication or withdrawal. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for paranoia
Essential facts and insights about Paranoia
Primary ICD-10-CM Codes for paranoia
Decision Criteria
clinical Criteria
- Presence of persistent delusions and hallucinations
Applicable To
- Schizophrenia with paranoid delusions
Excludes
- Schizoaffective disorder (F25.-)
Clinical Validation Requirements
- Presence of persecutory delusions
- Auditory hallucinations
- Disorganized speech
Code-Specific Risks
- Overcoding if hallucinations are absent
Coding Notes
- Ensure documentation specifies the presence of hallucinations and delusions.
F22 - Delusional disorders
Use when paranoia is characterized by non-bizarre delusions without hallucinations.
Applicable To
- Paranoid disorder
Excludes
- Schizophrenia (F20.-)
Clinical Validation Requirements
- Fixed false beliefs without other schizophrenia symptoms
Coding Notes
Document the duration and nature of delusions.
F60.0 - Paranoid personality disorder
Use when paranoia is part of a personality disorder without psychosis.
Applicable To
- Personality disorder with pervasive distrust
Excludes
- Paranoid schizophrenia (F20.0)
Clinical Validation Requirements
- Pervasive distrust and suspiciousness
- Onset before early adulthood
Coding Notes
Ensure documentation highlights the absence of psychotic symptoms.
F01.518 - Vascular dementia with behavioral disturbance
Use when paranoia is associated with vascular dementia.
Applicable To
- Vascular dementia with paranoia
Excludes
- Alzheimer's disease with dementia (G30.-)
Clinical Validation Requirements
- Stepwise cognitive decline
- Neuroimaging evidence of cerebrovascular disease
Coding Notes
Document cognitive decline and behavioral symptoms clearly.
F10.950 - Alcohol-induced psychotic disorder with delusions
Use when paranoia is directly related to alcohol intoxication or withdrawal.
Applicable To
- Paranoia induced by alcohol use
Excludes
- Alcohol withdrawal delirium (F10.231)
Clinical Validation Requirements
- Temporal relationship to alcohol use
- Toxicology confirmation
Coding Notes
Ensure documentation links paranoia to alcohol use.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Wandering in diseases classified elsewhere
Z91.83Other specified symptoms and signs involving cognitive functions and awareness
R41.8Other specified problems related to primary support group
Z63.8Cerebrovascular disease, unspecified
I67.9Alcohol dependence, uncomplicated
F10.20Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Delusional disorder
F22Paranoid schizophrenia
F20.0Unspecified dementia without behavioral disturbance
F03.90Alcohol withdrawal delirium
F10.231Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Paranoia to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F20.0.
Impact
Clinical: Inadequate treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Use specific clinical terms, Link symptoms to diagnosis
Impact
Reimbursement: Incorrect DRG assignment leading to lower reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use F01.518 for vascular dementia with paranoia.
Impact
Reimbursement: Potential underpayment due to lack of severity coding., Compliance: Failure to meet documentation standards., Data Quality: Inadequate clinical picture for treatment planning.
Mitigation Strategy
Specify acute exacerbation and symptoms like hallucinations.
Impact
Incorrect coding of paranoia related to substance use.
Mitigation Strategy
Ensure documentation specifies substance and temporal relationship.
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 Paranoia, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Paranoia
Use these documentation templates to ensure complete and accurate documentation for Paranoia. These templates include all required elements for proper coding and billing.
Paranoid schizophrenia diagnosis
Specialty: PsychiatryRequired Elements
- Patient quotes
- Symptom frequency
- Objective findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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