F20-F29 — Schizophrenia, schizotypal, delusional, and other non-mood psychotic disorders
ICD-10-CM codes F20-F29 cover schizophrenia, schizotypal, delusional, and other non-mood psychotic disorders, within mental, behavioral and neurodevelopmental disorders. The block holds 21 codes across 8 categories, of which 18 are billable and 3 are header codes that cannot be submitted on a claim.
Risk adjustment in F20-F29
0 codes in this block map to a CMS-HCC, which means the diagnosis carries a risk-adjustment payment when it is documented and coded. Under-coding here is money left on the table; over-coding here is what audits are for.
- HCC 151 Schizophrenia
- HCC 152 Psychosis, Except Schizophrenia
- HCC 153 Personality Disorders; Anorexia/Bulimia Nervosa
What else to watch in F20-F29
- 18 codes are named in Medicare coverage policies. An LCD or NCD lists them as supporting medical necessity, or explicitly as not supporting it. Which applies depends on the MAC for your state.
Categories in F20-F29
- F20Schizophrenia
- F21Schizotypal disorder
- F22Delusional disorders
- F23Brief psychotic disorder
- F24Shared psychotic disorder
- F25Schizoaffective disorders
- F28Other psychotic disorder not due to a substance or known physiological condition
- F29Unspecified psychosis not due to a substance or known physiological condition