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Home/Diagnosis/ICD-10 Coding for Paranoia

ICD-10 Coding for Paranoia

F20.0
F22
F60.0

Complete ICD-10-CM coding and documentation guide for icd-10 coding for paranoia includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Paranoid Ideation
Paranoid Delusions
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Key Information: ICD-10 Coding for Paranoia

Essential facts and insights about ICD-10 Coding for Paranoia

Use ICD-10 code F20.0 for paranoid schizophrenia, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Paranoid schizophrenia

Billable Code
F20.0
Billable

Diagnostic Criteria

  • • Presence of persecutory delusions
  • • Auditory hallucinations
  • • Disorganized speech

Applicable To

  • • Schizophrenia with paranoid delusions

Important Notes

  • • Ensure documentation specifies the presence of hallucinations and delusions.

Delusional disorders

Billable Code
F22
Billable

Diagnostic Criteria

  • • Fixed false beliefs without other schizophrenia symptoms

Applicable To

  • • Paranoid disorder

Important Notes

  • • Document the duration and nature of delusions.

Paranoid personality disorder

Billable Code
F60.0
Billable

Diagnostic Criteria

  • • Pervasive distrust and suspiciousness
  • • Onset before early adulthood

Applicable To

  • • Personality disorder with pervasive distrust

Important Notes

  • • Ensure documentation highlights the absence of psychotic symptoms.

Vascular dementia with behavioral disturbance

Billable Code
F01.518
Billable

Diagnostic Criteria

  • • Stepwise cognitive decline
  • • Neuroimaging evidence of cerebrovascular disease

Applicable To

  • • Vascular dementia with paranoia

Important Notes

  • • Document cognitive decline and behavioral symptoms clearly.

Alcohol-induced psychotic disorder with delusions

Billable Code
F10.950
Billable

Diagnostic Criteria

  • • Temporal relationship to alcohol use
  • • Toxicology confirmation

Applicable To

  • • Paranoia induced by alcohol use

Important Notes

  • • Ensure documentation links paranoia to alcohol use.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z91.83

Wandering in diseases classified elsewhere

Use when patient exhibits wandering behavior.

R41.8

Other specified symptoms and signs involving cognitive functions and awareness

Use for cognitive deficits associated with delusions.

Z63.8

Other specified problems related to primary support group

Use for family estrangement issues.

I67.9

Cerebrovascular disease, unspecified

Use to specify underlying cerebrovascular condition.

F10.20

Alcohol dependence, uncomplicated

Use to specify underlying alcohol use disorder.

Frequently Asked Questions

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.

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