F06.2 vs F20
F06.2 (Psychotic disorder with delusions due to known physiological condition) compared with F20 (Schizophrenia), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. F06.2 carries an Excludes2 note covering F20: “schizophrenia (F20.-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Yes, when both are documented. F20 carries an Excludes2 note covering F06.2: “brain disease (F06.2)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Yes, when both are documented. F20 carries an Excludes2 note covering F06.2: “epilepsy (F06.2)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| F06.2Psychotic disorder with delusions due to known physiological condition | F20Schizophrenia | |
|---|---|---|
| Billing status | Billable | Non-billable header |
| Classification | F01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99) | F01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99) |
| Definition | Psychotic disorder with delusions due to known physiological condition is a billable ICD-10-CM diagnosis code (F06.2). | Schizophrenia is a non-billable ICD-10-CM category code (F20). |
| Includes | mental disorders due to endocrine disorder mental disorders due to exogenous hormone mental disorders due to exogenous toxic substance mental disorders due to primary cerebral disease | — |
| Use additional code | — | code, if applicable, to identify: other specified cognitive deficit (R41.84-) |
| Code first | the underlying physiological condition | — |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources