2019 ICD-10-CM Diagnosis Code F20

Schizophrenia

    2016 2017 2018 2019 Non-Billable/Non-Specific Code
  • F20 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2019 edition of ICD-10-CM F20 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of F20 - other international versions of ICD-10 F20 may differ.
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as F20. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • brief psychotic disorder (
    ICD-10-CM Diagnosis Code F23

    Brief psychotic disorder

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Paranoid reaction
    • Psychogenic paranoid psychosis
    Type 2 Excludes
    F23
    )
  • cyclic schizophrenia (
    ICD-10-CM Diagnosis Code F25.0

    Schizoaffective disorder, bipolar type

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Cyclic schizophrenia
    • Schizoaffective disorder, manic type
    • Schizoaffective disorder, mixed type
    • Schizoaffective psychosis, bipolar type
    F25.0
    )
  • mood [affective] disorders with psychotic symptoms (
    ICD-10-CM Diagnosis Code F30.2

    Manic episode, severe with psychotic symptoms

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Manic stupor
    • Mania with mood-congruent psychotic symptoms
    • Mania with mood-incongruent psychotic symptoms
    F30.2
    ,
    ICD-10-CM Diagnosis Code F31.2

    Bipolar disorder, current episode manic severe with psychotic features

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Bipolar disorder, current episode manic with mood-congruent psychotic symptoms
    • Bipolar disorder, current episode manic with mood-incongruent psychotic symptoms
    • Bipolar I disorder, current or most recent episode manic with psychotic features
    F31.2
    ,
    ICD-10-CM Diagnosis Code F31.5

    Bipolar disorder, current episode depressed, severe, with psychotic features

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Bipolar disorder, current episode depressed with mood-incongruent psychotic symptoms
    • Bipolar disorder, current episode depressed with mood-congruent psychotic symptoms
    • Bipolar I disorder, current or most recent episode depressed, with psychotic features
    F31.5
    ,
    ICD-10-CM Diagnosis Code F31.64

    Bipolar disorder, current episode mixed, severe, with psychotic features

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Bipolar disorder, current episode mixed with mood-congruent psychotic symptoms
    • Bipolar disorder, current episode mixed with mood-incongruent psychotic symptoms
    F31.64
    ,
    ICD-10-CM Diagnosis Code F32.3

    Major depressive disorder, single episode, severe with psychotic features

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Single episode of major depression with mood-congruent psychotic symptoms
    • Single episode of major depression with mood-incongruent psychotic symptoms
    • Single episode of major depression with psychotic symptoms
    • Single episode of psychogenic depressive psychosis
    • Single episode of psychotic depression
    • Single episode of reactive depressive psychosis
    F32.3
    ,
    ICD-10-CM Diagnosis Code F33.3

    Major depressive disorder, recurrent, severe with psychotic symptoms

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Endogenous depression with psychotic symptoms
    • Major depressive disorder, recurrent, with psychotic features
    • Recurrent severe episodes of major depression with mood-congruent psychotic symptoms
    • Recurrent severe episodes of major depression with mood-incongruent psychotic symptoms
    • Recurrent severe episodes of major depression with psychotic symptoms
    • Recurrent severe episodes of psychogenic depressive psychosis
    • Recurrent severe episodes of psychotic depression
    • Recurrent severe episodes of reactive depressive psychosis
    F33.3
    )
  • schizoaffective disorder (
    ICD-10-CM Diagnosis Code F25
    • F25 Schizoaffective disorders
      • F25.0 Schizoaffective disorder, bipolar type
      • F25.1 Schizoaffective disorder, depressive type
      • F25.8 Other schizoaffective disorders
      • F25.9 Schizoaffective disorder, unspecified
    F25.-
    )
  • schizophrenic reaction NOS (
    ICD-10-CM Diagnosis Code F23

    Brief psychotic disorder

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Paranoid reaction
    • Psychogenic paranoid psychosis
    Type 2 Excludes
    F23
    )
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (F20) and the excluded code together.
  • schizophrenic reaction in:
  • alcoholism (
    ICD-10-CM Diagnosis Code F10.15

    Alcohol abuse with alcohol-induced psychotic disorder

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    F10.15-
    ,
    ICD-10-CM Diagnosis Code F10.25

    Alcohol dependence with alcohol-induced psychotic disorder

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    F10.25-
    ,
    ICD-10-CM Diagnosis Code F10.95

    Alcohol use, unspecified with alcohol-induced psychotic disorder

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    F10.95-
    )
  • brain disease (
    ICD-10-CM Diagnosis Code F06.2

    Psychotic disorder with delusions due to known physiological condition

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Paranoid and paranoid-hallucinatory organic states
    • Schizophrenia-like psychosis in epilepsy
    Type 2 Excludes
    • alcohol and drug-induced psychotic disorder (F10-F19 with .150, .250, .950)
    • brief psychotic disorder (F23)
    • delusional disorder (F22)
    • schizophrenia (F20.-)
    F06.2
    )
  • epilepsy (
    ICD-10-CM Diagnosis Code F06.2

    Psychotic disorder with delusions due to known physiological condition

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Paranoid and paranoid-hallucinatory organic states
    • Schizophrenia-like psychosis in epilepsy
    Type 2 Excludes
    • alcohol and drug-induced psychotic disorder (F10-F19 with .150, .250, .950)
    • brief psychotic disorder (F23)
    • delusional disorder (F22)
    • schizophrenia (F20.-)
    F06.2
    )
  • psychoactive drug use (
    ICD-10-CM Diagnosis Code F11

    Opioid related disorders

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    F11
    -
    ICD-10-CM Diagnosis Code F19

    Other psychoactive substance related disorders

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Includes
    • polysubstance drug use (indiscriminate drug use)
    F19
    with .15. .25, .95)
  • schizotypal disorder (
    ICD-10-CM Diagnosis Code F21

    Schizotypal disorder

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Borderline schizophrenia
    • Latent schizophrenia
    • Latent schizophrenic reaction
    • Prepsychotic schizophrenia
    • Prodromal schizophrenia
    • Pseudoneurotic schizophrenia
    • Pseudopsychopathic schizophrenia
    • Schizotypal personality disorder
    Type 2 Excludes
    • Asperger's syndrome (F84.5)
    • schizoid personality disorder (F60.1)
    F21
    )
The following code(s) above F20 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to F20:
  • F01-F99
    2019 ICD-10-CM Range F01-F99

    Mental, Behavioral and Neurodevelopmental disorders

    Includes
    • disorders of psychological development
    Type 2 Excludes
    • symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)
    Mental, Behavioral and Neurodevelopmental disorders
Clinical Information
  • A group of severe mental disorders in which a person has trouble telling the difference between real and unreal experiences, thinking logically, having normal emotional responses to others, and behaving normally in social situations. Symptoms include seeing, hearing, feeling things that are not there, having false ideas about what is taking place or who one is, nonsense speech, unusual behavior, lack of emotion, and social withdrawal.
  • A major psychotic disorder characterized by abnormalities in the perception or expression of reality. It affects the cognitive and psychomotor functions. Common clinical signs and symptoms include delusions, hallucinations, disorganized thinking, and retreat from reality.
  • A severe emotional disorder of psychotic depth characteristically marked by a retreat from reality with delusion formation, hallucinations, emotional disharmony, and regressive behavior.
  • Class of psychoses with disturbance mainly of cognition (content and form of thought, perception, sense of self versus external world, volition) and psychomotor function, rather than affect.
  • Schizophrenia is a severe, lifelong brain disorder. People who have it may hear voices, see things that aren't there or believe that others are reading or controlling their minds. In men, symptoms usually start in the late teens and early 20s. They include hallucinations, or seeing things, and delusions such as hearing voices. For women, they start in the mid-20s to early 30s. Other symptoms include
    • unusual thoughts or perceptions
    • disorders of movement
    • difficulty speaking and expressing emotion
    • problems with attention, memory and organization
    no one is sure what causes schizophrenia, but your genetic makeup and brain chemistry probably play a role. Medicines can relieve many of the symptoms, but it can take several tries before you find the right drug. You can reduce relapses by staying on your medicine for as long as your doctor recommends. With treatment, many people improve enough to lead satisfying lives.
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
Code annotations containing back-references to F20:
  • Type 1 Excludes: F25
    ICD-10-CM Diagnosis Code F25

    Schizoaffective disorders

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 1 Excludes
  • Type 2 Excludes: F06.0
    , F06.2
    , F42
    , F60.1
    , F90
    , F94.0
    , F63.1
    , F91
    ICD-10-CM Diagnosis Code F06.0

    Psychotic disorder with hallucinations due to known physiological condition

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Organic hallucinatory state (nonalcoholic)
    Type 2 Excludes
    • hallucinations and perceptual disturbance induced by alcohol and other psychoactive substances (F10-F19 with .151, .251, .951)
    • schizophrenia (F20.-)
    ICD-10-CM Diagnosis Code F06.2

    Psychotic disorder with delusions due to known physiological condition

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Paranoid and paranoid-hallucinatory organic states
    • Schizophrenia-like psychosis in epilepsy
    Type 2 Excludes
    • alcohol and drug-induced psychotic disorder (F10-F19 with .150, .250, .950)
    • brief psychotic disorder (F23)
    • delusional disorder (F22)
    • schizophrenia (F20.-)
    ICD-10-CM Diagnosis Code F42

    Obsessive-compulsive disorder

      2016 2017 - Deleted Code 2017 - New Code 2018 2019 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • obsessive-compulsive personality (disorder) (F60.5)
    • obsessive-compulsive symptoms occurring in depression (F32-F33)
    • obsessive-compulsive symptoms occurring in schizophrenia (F20.-)
    ICD-10-CM Diagnosis Code F60.1

    Schizoid personality disorder

      2016 2017 2018 2019 Billable/Specific Code
    Type 2 Excludes
    • Asperger's syndrome (F84.5)
    • delusional disorder (F22)
    • schizoid disorder of childhood (F84.5)
    • schizophrenia (F20.-)
    • schizotypal disorder (F21)
    ICD-10-CM Diagnosis Code F90

    Attention-deficit hyperactivity disorders

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Includes
    • attention deficit disorder with hyperactivity
    • attention deficit syndrome with hyperactivity
    Type 2 Excludes
    ICD-10-CM Diagnosis Code F94.0

    Selective mutism

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Elective mutism
    Type 2 Excludes
    • pervasive developmental disorders (F84.-)
    • schizophrenia (F20.-)
    • specific developmental disorders of speech and language (F80.-)
    • transient mutism as part of separation anxiety in young children (F93.0)
    ICD-10-CM Diagnosis Code F63.1

    Pyromania

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Pathological fire-setting
    Type 2 Excludes
    • fire-setting (by) (in):
    • adult with antisocial personality disorder (F60.2)
    • alcohol or psychoactive substance intoxication (F10-F19)
    • conduct disorders (F91.-)
    • mental disorders due to known physiological condition (F01-F09)
    • schizophrenia (F20.-)
    ICD-10-CM Diagnosis Code F91

    Conduct disorders

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • antisocial behavior (Z72.81-)
    • antisocial personality disorder (F60.2)
    Type 2 Excludes
    • conduct problems associated with attention-deficit hyperactivity disorder (F90.-)
    • mood [affective] disorders (F30-F39)
    • pervasive developmental disorders (F84.-)
    • schizophrenia (F20.-)
ICD-10-CM Codes Adjacent To F20
F19.951 …… with hallucinations
F19.959 …… unspecified
F19.96 …… with psychoactive substance-induced persisting amnestic disorder
F19.97 …… with psychoactive substance-induced persisting dementia
F19.98 Other psychoactive substance use, unspecified with other psychoactive substance-induced disorders
F19.980 Other psychoactive substance use, unspecified with psychoactive substance-induced anxiety disorder
F19.981 Other psychoactive substance use, unspecified with psychoactive substance-induced sexual dysfunction
F19.982 Other psychoactive substance use, unspecified with psychoactive substance-induced sleep disorder
F19.988 Other psychoactive substance use, unspecified with other psychoactive substance-induced disorder
F19.99 …… with unspecified psychoactive substance-induced disorder
F20 Schizophrenia
F20.0 Paranoid schizophrenia
F20.1 Disorganized schizophrenia
F20.2 Catatonic schizophrenia
F20.3 Undifferentiated schizophrenia
F20.5 Residual schizophrenia
F20.8 Other schizophrenia
F20.81 Schizophreniform disorder
F20.89 Other schizophrenia
F20.9 Schizophrenia, unspecified
F21 Schizotypal disorder

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.