ICD-10 Coding for Paranoid Delusions(F22, F20.0)
Complete ICD-10-CM coding and documentation guide for Paranoid Delusions. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Paranoid Delusions
F20-F29Primary Range
Schizophrenia, schizotypal, delusional, and other non-mood psychotic disorders
This range includes primary codes for paranoid delusions and related psychotic disorders.
Disorders of adult personality and behavior
Includes codes for personality disorders, such as paranoid personality disorder.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F22 | Delusional disorders | Use when delusions are persistent and non-bizarre, without other schizophrenia symptoms. |
|
| F20.0 | Paranoid schizophrenia | Use when hallucinations accompany delusions, with other schizophrenia symptoms. |
|
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 paranoid delusions
Essential facts and insights about Paranoid Delusions
Primary ICD-10-CM Codes for paranoid delusions
Decision Criteria
clinical Criteria
- Delusions without hallucinations lasting over a month
Applicable To
- Persistent non-bizarre delusions
Excludes
- Mood disorders with psychotic features (F30-F39)
Clinical Validation Requirements
- Delusions persist ≥1 month
- No hallucinations or disorganized speech
Code-Specific Risks
- Confusion with schizophrenia if hallucinations are present
Coding Notes
- Ensure documentation specifies the nature and duration of delusions.
F20.0 - Paranoid schizophrenia
Use when hallucinations accompany delusions, with other schizophrenia symptoms.
Applicable To
- Paranoid delusions with hallucinations
Excludes
- Delusional disorders (F22)
Clinical Validation Requirements
- Auditory hallucinations and paranoid delusions
- Symptoms persist ≥6 months
Coding Notes
Document hallucinations and delusions explicitly.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Paranoid Delusions to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F22.
Impact
Clinical: Leads to misdiagnosis., Regulatory: Non-compliance with coding standards., Financial: Potential reimbursement issues.
Mitigation Strategy
Use specific language, Document all relevant symptoms
Impact
Reimbursement: Incorrect coding may affect DRG assignment., Compliance: May lead to audit issues., Data Quality: Affects accuracy of clinical data.
Mitigation Strategy
Ensure hallucinations are present for F20.0.
Impact
Incorrect selection between F22 and F20.0.
Mitigation Strategy
Regular training on symptom differentiation.
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 Paranoid Delusions, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Paranoid Delusions
Use these documentation templates to ensure complete and accurate documentation for Paranoid Delusions. These templates include all required elements for proper coding and billing.
Chronic paranoid delusions
Specialty: PsychiatryRequired Elements
- Duration of delusions
- Content of delusions
- Absence of hallucinations
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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