F22 Delusional disorders

Billable ICD-10-CM code, FY2026.

Applicable to

• Delusional dysmorphophobia
• Involutional paranoid state
• Paranoia
• Paranoia querulans
• Paranoid psychosis
• Paranoid state
• Paraphrenia (late)
• Sensitiver Beziehungswahn

Excludes1 (never code together)

• mood [affective] disorders with psychotic symptoms (F30.2, F31.2, F31.5, F31.64, F32.3, F33.3)
• paranoid schizophrenia (F20.0)

Excludes2 (not included here)

• paranoid personality disorder (F60.0)
• paranoid psychosis, psychogenic (F23)
• paranoid reaction (F23)

Applies from F22 Delusional disorders

Applicable to

• Delusional dysmorphophobia
• Involutional paranoid state
• Paranoia
• Paranoia querulans
• Paranoid psychosis
• Paranoid state
• Paraphrenia (late)
• Sensitiver Beziehungswahn

Excludes1 (never code together)

• mood [affective] disorders with psychotic symptoms (F30.2, F31.2, F31.5, F31.64, F32.3, F33.3)
• paranoid schizophrenia (F20.0)

Excludes2 (not included here)

• paranoid personality disorder (F60.0)
• paranoid psychosis, psychogenic (F23)
• paranoid reaction (F23)

Risk adjustment (HCC)

• CMS-HCC V28: HCC 152 — Psychosis, Except Schizophrenia
• CMS-HCC V22: HCC 58 — Major Depressive, Bipolar, and Paranoid Disorders
• RxHCC V08: HCC 133 — Anxiety and Other Psychiatric Disorders
• ESRD V24: HCC 59

MS-DRG index

Defines the logic of DRG(s) 885 in MDC 19.

Approximate ICD-9-CM (GEMs)

• 297.0 Paranoid state, simple (approximate)
• 297.1 Delusional disorder (approximate)
• 297.2 Paraphrenia (approximate)

Code annotations containing back-references to F22

Back-references to F22

• Type 2 Excludes: F06.2 Psychotic disorder with delusions due to known physiological condition ("delusional disorder (F22)")
• Type 1 Excludes: F20.0 Paranoid schizophrenia ("involutional paranoid state (F22)")
• Type 1 Excludes: F20.0 Paranoid schizophrenia ("paranoia (F22)")
• Type 2 Excludes: F45.2 Hypochondriacal disorders ("delusional dysmorphophobia (F22)")
• Type 2 Excludes: F45.2 Hypochondriacal disorders ("fixed delusions about bodily functions or shape (F22)")
• 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: F60.0 Paranoid personality disorder ("paranoia (F22)")
• Type 2 Excludes: F60.0 Paranoid personality disorder ("paranoia querulans (F22)")
• Type 2 Excludes: F60.0 Paranoid personality disorder ("paranoid psychosis (F22)")
• Type 2 Excludes: F60.0 Paranoid personality disorder ("paranoid state (F22)")
• Type 2 Excludes: F60.1 Schizoid personality disorder ("delusional disorder (F22)")
• 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)")

Back-references to F22

• Type 2 Excludes: F06.2 Psychotic disorder with delusions due to known physiological condition ("delusional disorder (F22)")
• Type 1 Excludes: F20.0 Paranoid schizophrenia ("involutional paranoid state (F22)")
• Type 1 Excludes: F20.0 Paranoid schizophrenia ("paranoia (F22)")
• Type 2 Excludes: F45.2 Hypochondriacal disorders ("delusional dysmorphophobia (F22)")
• Type 2 Excludes: F45.2 Hypochondriacal disorders ("fixed delusions about bodily functions or shape (F22)")
• 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: F60.0 Paranoid personality disorder ("paranoia (F22)")
• Type 2 Excludes: F60.0 Paranoid personality disorder ("paranoia querulans (F22)")
• Type 2 Excludes: F60.0 Paranoid personality disorder ("paranoid psychosis (F22)")
• Type 2 Excludes: F60.0 Paranoid personality disorder ("paranoid state (F22)")
• Type 2 Excludes: F60.1 Schizoid personality disorder ("delusional disorder (F22)")
• 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)")

Diagnosis Index entries for F22

• Climacteric (female) › paranoid state
• Cotard's syndrome
• Disorder (of) › delusional (persistent) (systematized)
• Disorder (of) › paranoid
• Dysmorphophobia (nondelusional) › delusional
• Insanity, insane › delusional
• Lycanthropy
• Menopause, menopausal (asymptomatic) (state) › paranoid state
• Paranoia (querulans)
• Paranoid › psychosis (climacteric) (involutional) (menopausal)
• Paranoid › reaction (acute) › chronic
• Paranoid › state (climacteric) (involutional) (menopausal) (simple)
• Paraphrenia, paraphrenic (late)
• Persecution › delusion
• Psychosis, psychotic › involutional › paranoid (state)
• Psychosis, psychotic › paranoiac
• Psychosis, psychotic › paranoid (climacteric) (involutional) (menopausal)
• Reaction › paranoid (acute) › chronic
• Sander's disease (paranoia)
• Sensitiver Beziehungswahn
• State (of) › paranoid
• State (of) › paranoid › climacteric
• State (of) › paranoid › involutional
• State (of) › paranoid › menopausal
• State (of) › paranoid › simple

Nearby codes

• F22 Delusional disorders (this code)