What is the ICD-10 code for paranoia?

The ICD-10 code for paranoia depends on the underlying condition, such as F20.0 for paranoid schizophrenia or F22 for delusional disorder.

How do you code paranoia in schizophrenia?

Use F20.0 for paranoid schizophrenia when paranoia is accompanied by hallucinations and delusions.

ICD-10 Coding for Paranoia(F20.0, F01.518, F03.90)

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Explore ICD-10 codes for paranoia, including paranoid schizophrenia and delusional disorders. Learn about documentation requirements and coding tips.

Also known as:

Paranoid IdeationParanoid Delusions

Related ICD-10 Code Ranges

Complete code families applicable to Paranoia

F01-F99Primary Range

Mental, Behavioral and Neurodevelopmental disorders

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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.	Presence of persecutory delusions Auditory hallucinations Disorganized speech
F22	Delusional disorders	Use when paranoia is characterized by non-bizarre delusions without hallucinations.	Fixed false beliefs without other schizophrenia symptoms
F60.0	Paranoid personality disorder	Use when paranoia is part of a personality disorder without psychosis.	Pervasive distrust and suspiciousness Onset before early adulthood
F01.518	Vascular dementia with behavioral disturbance	Use when paranoia is associated with vascular dementia.	Stepwise cognitive decline Neuroimaging evidence of cerebrovascular disease
F10.950	Alcohol-induced psychotic disorder with delusions	Use when paranoia is directly related to alcohol intoxication or withdrawal.	Temporal relationship to alcohol use Toxicology confirmation

Primary ICD-10-CM Codes

Paranoid schizophrenia

F20.0Billable

Differential Codes

Alternative codes to consider when ruling out similar conditions

Delusional disorderF22

Paranoid schizophreniaF20.0

Unspecified dementia without behavioral disturbanceF03.90

Alcohol withdrawal deliriumF10.231

Documentation & Coding Risks

Avoid these common issues when documenting Paranoia.

Vague documentation of paranoia

Impact

Clinical: Inadequate treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.

Mitigation

Use specific clinical terms, Link symptoms to diagnosis

Misapplying F20.0 for dementia-related paranoia

Impact

Reimbursement: Incorrect DRG assignment leading to lower reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation

Use F01.518 for vascular dementia with paranoia.

Undercoding severity of paranoid schizophrenia

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

Specify acute exacerbation and symptoms like hallucinations.

Substance-induced paranoia coding

Impact

Incorrect coding of paranoia related to substance use.

Mitigation

Ensure documentation specifies substance and temporal relationship.

Frequently Asked Questions

Documentation requirements, coding pitfalls and FAQs for conditions coded with F20.0.

Primary Code

F20.0

Paranoid schizophrenia

Quick Navigation

ICD-10 codes11

Coding risks4

FAQs2

ICD-10 Coding for Paranoia(F20.0, F01.518, F03.90)

Documentation & Coding Risks

Frequently Asked Questions

What is the ICD-10 code for paranoia?

How do you code paranoia in schizophrenia?

Related condition guides