ICD-10-CM Codes
F01-F99
F20-F29
F22-
2023 ICD-10-CM Diagnosis Code F22

2023 ICD-10-CM Diagnosis Code F22

Delusional disorders

2016

2017

2018

2019

2020

2021

2022

2023

Billable/Specific Code

F22 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
The 2023 edition of ICD-10-CM F22 became effective on October 1, 2022.
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
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
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
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
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
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
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
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
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
Applicable To
- Paranoid reaction
- Psychogenic paranoid psychosis
Type 2 Excludes
- mood [affective] disorders with psychotic symptoms (F30.2, F31.2, F31.5, F31.64, F32.3, F33.3)
F23
)
paranoid reaction (
ICD-10-CM Diagnosis Code F23
Brief psychotic disorder
Applicable To
- Paranoid reaction
- Psychogenic paranoid psychosis
Type 2 Excludes
- mood [affective] disorders with psychotic symptoms (F30.2, F31.2, F31.5, F31.64, F32.3, F33.3)
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
2023 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 v40.0):

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
2020 (effective 10/1/2019): No change
2021 (effective 10/1/2020): No change
2022 (effective 10/1/2021): No change
2023 (effective 10/1/2022): 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
Applicable To
- Paraphrenic schizophrenia
Type 1 Excludes
- involutional paranoid state (F22)
- paranoia (F22)
ICD-10-CM Diagnosis Code F20.0
Paranoid schizophrenia
Applicable To
- Paraphrenic schizophrenia
Type 1 Excludes
- involutional paranoid state (F22)
- paranoia (F22)
Type 2 Excludes: F60.0
, F60.0
, F60.0
, F60.0
, F60.1
, F06.2
, F45.2
, F45.2

ICD-10-CM Diagnosis Code F60.0
Paranoid personality disorder
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
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
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
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
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 F06.2
Psychotic disorder with delusions due to known physiological condition
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 F45.2
Hypochondriacal disorders
Type 2 Excludes
- delusional dysmorphophobia (F22)
- fixed delusions about bodily functions or shape (F22)
ICD-10-CM Diagnosis Code F45.2
Hypochondriacal disorders
Type 2 Excludes
- delusional dysmorphophobia (F22)
- fixed delusions about bodily functions or shape (F22)

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
- delusional (persistent) (systematized) F22
- paranoid F22
Dysmorphophobia (nondelusional) F45.22
ICD-10-CM Diagnosis Code F45.22
Body dysmorphic disorder
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
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 2020 2021 2022 2023 Billable/Specific Code
  Applicable To
  Paranoid reaction
  Psychogenic paranoid psychosis
  Type 2 Excludes
  mood [affective] disorders with psychotic symptoms (F30.2, F31.2, F31.5, F31.64, F32.3, F33.3)
  - 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
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 2020 2021 2022 2023 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 2020 2021 2022 2023 Billable/Specific Code
  Applicable To
  Paranoid reaction
  Psychogenic paranoid psychosis
  Type 2 Excludes
  mood [affective] disorders with psychotic symptoms (F30.2, F31.2, F31.5, F31.64, F32.3, F33.3)
  - 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.

2023 ICD-10-CM Diagnosis Code F22

Delusional disorders

Manic episode, severe with psychotic symptoms

Bipolar disorder, current episode manic severe with psychotic features

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

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

Major depressive disorder, single episode, severe with psychotic features

Major depressive disorder, recurrent, severe with psychotic symptoms

Paranoid schizophrenia

Paranoid personality disorder

Brief psychotic disorder

Brief psychotic disorder

Mental, Behavioral and Neurodevelopmental disorders

Paranoid schizophrenia

Paranoid schizophrenia

Paranoid personality disorder

Paranoid personality disorder

Paranoid personality disorder

Paranoid personality disorder

Schizoid personality disorder

Psychotic disorder with delusions due to known physiological condition

Hypochondriacal disorders

Hypochondriacal disorders

Body dysmorphic disorder

Asymptomatic menopausal state

Brief psychotic disorder

Unspecified psychosis not due to a substance or known physiological condition

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

Brief psychotic disorder