MCMedicalCodingSoftware
F20

F20: Schizophrenia

Non-billable headerICD-10-CM

F20 is a non-billable header ICD-10-CM code for schizophrenia. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

Use additional code

Add a secondary code to capture the detail described below.

  • code, if applicable, to identify:
  • other specified cognitive deficit (R41.84-)

Other codes that can never be billed with F20

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • F22Delusional disorders
  • F53Mental and behavioral disorders associated with the puerperium, not elsewhere classified
  • R40.1Stupor
  • R44Other symptoms and signs involving general sensations and perceptions
  • R46Symptoms and signs involving appearance and behavior
  • F25Schizoaffective disorders

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead F20

7 child codes. Green means billable.

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.