psychoactive drug use (F11-F19 with .15. .25, .95)
schizotypal disorder (F21)
Use additional code
code, if applicable, to identify:
other specified cognitive deficit (R41.84-)
Risk adjustment (HCC)
CMS-HCC V28: HCC 151 — Schizophrenia
CMS-HCC V22: HCC 57 — Schizophrenia
RxHCC V08: HCC 130 — Schizophrenia and Other Psychosis
ESRD V24: HCC 57
MS-DRG index
Defines the logic of DRG(s) 885 in MDC 19.
Approximate ICD-9-CM (GEMs)
295.30 Paranoid type schizophrenia, unspecified (approximate)
Code annotations containing back-references to F20.0
Back-references to F20.0
Type 1 Excludes: F22 Delusional disorders ("paranoid schizophrenia (F20.0)")
Type 2 Excludes: F60.0 Paranoid personality disorder ("paranoid schizophrenia (F20.0)")
Back-references to F20
Type 2 Excludes: F06.0 Psychotic disorder with hallucinations due to known physiological condition ("schizophrenia (F20.-)")
Type 2 Excludes: F06.2 Psychotic disorder with delusions due to known physiological condition ("schizophrenia (F20.-)")
Type 1 Excludes: F25 Schizoaffective disorders ("schizophrenia (F20.-)")
Type 2 Excludes: F42 Obsessive-compulsive disorder ("obsessive-compulsive symptoms occurring in schizophrenia (F20.-)")
Type 1 Excludes: F53 Mental and behavioral disorders associated with the puerperium, not elsewhere classified ("psychosis in schizophrenia, schizotypal, delusional, and other psychotic disorders (F20-F29)")
Type 2 Excludes: F60.1 Schizoid personality disorder ("schizophrenia (F20.-)")
Type 2 Excludes: F63.1 Pyromania ("schizophrenia (F20.-)")
Type 2 Excludes: F90 Attention-deficit hyperactivity disorders ("schizophrenia (F20.-)")
Type 2 Excludes: F91 Conduct disorders ("schizophrenia (F20.-)")
Type 2 Excludes: F94.0 Selective mutism ("schizophrenia (F20.-)")
Code First: R41.84 Other specified cognitive deficit ("schizophrenia (F20.-)")
Type 1 Excludes: R44 Other symptoms and signs involving general sensations and perceptions ("hallucinations in schizophrenia, schizotypal and delusional disorders (F20-F29)")
Type 1 Excludes: R46 Symptoms and signs involving appearance and behavior ("appearance and behavior in schizophrenia, schizotypal and delusional disorders (F20-F29)")