2019 ICD-10-CM Diagnosis Code F22

Delusional disorders

    2016 2017 2018 2019 Billable/Specific Code
  • F22 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2019 edition of ICD-10-CM F22 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of F22 - other international versions of ICD-10 F22 may differ.
Applicable To
  • Delusional dysmorphophobia
  • Involutional paranoid state
  • Paranoia
  • Paranoia querulans
  • Paranoid psychosis
  • Paranoid state
  • Paraphrenia (late)
  • Sensitiver Beziehungswahn
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 F22. 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.
  • 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
    )
  • paranoid schizophrenia (
    ICD-10-CM Diagnosis Code F20.0

    Paranoid schizophrenia

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Paraphrenic schizophrenia
    Type 1 Excludes
    • involutional paranoid state (F22)
    • paranoia (F22)
    F20.0
    )
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 (F22) and the excluded code together.
  • paranoid personality disorder (
    ICD-10-CM Diagnosis Code F60.0

    Paranoid personality disorder

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Expansive paranoid personality (disorder)
    • Fanatic personality (disorder)
    • Querulant personality (disorder)
    • Paranoid personality (disorder)
    • Sensitive paranoid personality (disorder)
    Type 2 Excludes
    • paranoia (F22)
    • paranoia querulans (F22)
    • paranoid psychosis (F22)
    • paranoid schizophrenia (F20.0)
    • paranoid state (F22)
    F60.0
    )
  • paranoid psychosis, psychogenic (
    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
    )
  • paranoid reaction (
    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
    )
The following code(s) above F22 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 F22:
  • 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
Approximate Synonyms
  • Alzheimer's disease with behavioral disturbance and delusions
  • Alzheimers dementia w behavioral disturbance w delusions
  • Alzheimers dementia w delusions
  • Alzheimers dementia, early onset, w delusions
  • Chronic paranoid psychosis
  • Delusion of parasitosis
  • Delusional disorder
  • Delusional disorder, erotomanic type
  • Delusional disorder, erotomatic
  • Delusional disorder, grandiose
  • Delusional disorder, grandiose type
  • Delusional disorder, jealous
  • Delusional disorder, jealous type
  • Delusional disorder, mixed
  • Delusional disorder, mixed type
  • Delusional disorder, persecutory
  • Delusional disorder, persecutory type
  • Delusional disorder, somatic
  • Delusional disorder, somatic type
  • Delusional parasitosis
  • Delusions in alzheimer's disease
  • Dementia, presenile with delusions
  • Dementia, senile with delusion
  • Early onset dementia with delusions
  • Erotomanic delusion disorder
  • Grandiose delusion disorder
  • Involutional paraphrenia
  • Jealous delusion disorder
  • Mental condition
  • Multi infarct dementia with delusions
  • Organic delusional disorder
  • Paranoia querulans
  • Paranoid delusion
  • Paranoid disorder
  • Paranoid state
  • Paranoid state in remission
  • Paranoid state, simple
  • Paraphrenia
  • Persecutory delusion disorder
  • Presenile dementia with delusions
  • Primary degenerative dementia of the alzheimer type, presenile onset, with delusions
  • Senile dementia w delusions
  • Senile dementia with delusion
  • Simple paranoid state
  • Somatic delusion disorder
  • Vascular dementia w delusions
  • Vascular dementia, with delusions
Clinical Information
  • A disorder characterized by the presence of one or more nonbizarre delusions that persist for at least 1 month; the delusion(s) are not due to schizophrenia or a mood disorder, and do not impair psychosocial functioning apart from the ramifications of the delusion(s).
  • A kind of psychotic disorder
  • A mental disorder in which a person has an extreme fear and distrust of others. A paranoid person may have delusions that people are trying to harm him or her.
  • Chronic mental disorders in which there has been an insidious development of a permanent and unshakeable delusional system (persecutory delusions or delusions of jealousy), accompanied by preservation of clear and orderly thinking. Emotional responses and behavior are consistent with the delusional state.
  • Disorder with presentation of a facade of coldness with characteristic pervasive mistrust and suspiciousness of others.
  • Gradual development of an elaborate and complex delusional system, usually involving persecutory or grandiose delusions with few other signs of personality or thought disturbance.
  • Mild paranoia in nonpsychotic persons.
  • Psychotic behavior accompanied by persecutory or grandiose delusions with few other signs of personality or thought disturbance.
ICD-10-CM F22 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):
  • 885 Psychoses

Convert F22 to ICD-9-CM

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 F22:
  • Type 1 Excludes: F20.0
    , F20.0
    ICD-10-CM Diagnosis Code F20.0

    Paranoid schizophrenia

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Paraphrenic schizophrenia
    Type 1 Excludes
    • involutional paranoid state (F22)
    • paranoia (F22)
    ICD-10-CM Diagnosis Code F20.0

    Paranoid schizophrenia

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Paraphrenic schizophrenia
    Type 1 Excludes
    • involutional paranoid state (F22)
    • paranoia (F22)
  • Type 2 Excludes: F06.2
    , F60.0
    , F60.0
    , F60.0
    , F45.2
    , F45.2
    , F60.0
    , F60.1
    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 F60.0

    Paranoid personality disorder

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Expansive paranoid personality (disorder)
    • Fanatic personality (disorder)
    • Querulant personality (disorder)
    • Paranoid personality (disorder)
    • Sensitive paranoid personality (disorder)
    Type 2 Excludes
    • paranoia (F22)
    • paranoia querulans (F22)
    • paranoid psychosis (F22)
    • paranoid schizophrenia (F20.0)
    • paranoid state (F22)
    ICD-10-CM Diagnosis Code F60.0

    Paranoid personality disorder

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Expansive paranoid personality (disorder)
    • Fanatic personality (disorder)
    • Querulant personality (disorder)
    • Paranoid personality (disorder)
    • Sensitive paranoid personality (disorder)
    Type 2 Excludes
    • paranoia (F22)
    • paranoia querulans (F22)
    • paranoid psychosis (F22)
    • paranoid schizophrenia (F20.0)
    • paranoid state (F22)
    ICD-10-CM Diagnosis Code F60.0

    Paranoid personality disorder

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Expansive paranoid personality (disorder)
    • Fanatic personality (disorder)
    • Querulant personality (disorder)
    • Paranoid personality (disorder)
    • Sensitive paranoid personality (disorder)
    Type 2 Excludes
    • paranoia (F22)
    • paranoia querulans (F22)
    • paranoid psychosis (F22)
    • paranoid schizophrenia (F20.0)
    • paranoid state (F22)
    ICD-10-CM Diagnosis Code F45.2

    Hypochondriacal disorders

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • delusional dysmorphophobia (F22)
    • fixed delusions about bodily functions or shape (F22)
    ICD-10-CM Diagnosis Code F45.2

    Hypochondriacal disorders

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • delusional dysmorphophobia (F22)
    • fixed delusions about bodily functions or shape (F22)
    ICD-10-CM Diagnosis Code F60.0

    Paranoid personality disorder

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Expansive paranoid personality (disorder)
    • Fanatic personality (disorder)
    • Querulant personality (disorder)
    • Paranoid personality (disorder)
    • Sensitive paranoid personality (disorder)
    Type 2 Excludes
    • paranoia (F22)
    • paranoia querulans (F22)
    • paranoid psychosis (F22)
    • paranoid schizophrenia (F20.0)
    • paranoid state (F22)
    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)

Diagnosis Index entries containing back-references to F22:
  • Climacteric (female) - see also Menopause
    • paranoid state F22
  • Cotard's syndrome F22
  • Disorder (of) - see also Disease
  • Dysmorphophobia (nondelusional) F45.22
    ICD-10-CM Diagnosis Code F45.22

    Body dysmorphic disorder

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Dysmorphophobia (nondelusional)
    • Nosophobia
    • delusional F22
  • Insanity, insane - see also Psychosis
    • delusional F22
  • Lycanthropy F22
  • Menopause, menopausal (asymptomatic) (state) Z78.0
    ICD-10-CM Diagnosis Code Z78.0

    Asymptomatic menopausal state

      2016 2017 2018 2019 Billable/Specific Code Adult Dx (15-124 years) Female Dx POA Exempt
    Applicable To
    • Menopausal state NOS
    • Postmenopausal status NOS
    Type 2 Excludes
    • symptomatic menopausal state (N95.1)
    • paranoid state F22
  • Paranoia (querulans) F22
  • Paranoid
    • psychosis (climacteric) (involutional) (menopausal) F22
    • reaction (acute) F23
      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
      • chronic F22
    • state (climacteric) (involutional) (menopausal) (simple) F22
  • Paraphrenia, paraphrenic (late) F22
  • Persecution
    • delusion F22
  • Psychosis, psychotic F29
    ICD-10-CM Diagnosis Code F29

    Unspecified psychosis not due to a substance or known physiological condition

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Psychosis NOS
    • Unspecified schizophrenia spectrum and other psychotic disorder
    Type 1 Excludes
    • mental disorder NOS (F99)
    • unspecified mental disorder due to known physiological condition (F09)
    • involutional F28
      ICD-10-CM Diagnosis Code F28

      Other psychotic disorder not due to a substance or known physiological condition

        2016 2017 2018 2019 Billable/Specific Code
      Applicable To
      • Chronic hallucinatory psychosis
      • Other specified schizophrenia spectrum and other psychotic disorder
      • paranoid F22 (state)
    • paranoid (climacteric) (involutional) (menopausal) F22
    • paranoiac F22
  • Reaction - see also Disorder
    • paranoid (acute) F23
      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
      • chronic F22
  • Sander's disease F22 (paranoia)
  • Sensitiver Beziehungswahn F22
  • State (of)
    • paranoid F22
      • climacteric F22
      • involutional F22
      • menopausal F22
      • simple F22

ICD-10-CM Codes Adjacent To F22
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
F22 Delusional disorders
F23 Brief psychotic disorder
F24 Shared psychotic disorder
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
F28 Other psychotic disorder not due to a substance or known physiological condition
F29 Unspecified psychosis not due to a substance or known physiological condition
F30 Manic episode

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