F20 vs F21
F20 (Schizophrenia) compared with F21 (Schizotypal disorder), 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. F20 carries an Excludes2 note covering F21: “schizotypal disorder (F21)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| F20Schizophrenia | F21Schizotypal disorder | |
|---|---|---|
| Billing status | Non-billable header | Billable |
| Classification | F01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99) | F01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99) |
| Definition | Schizophrenia is a non-billable ICD-10-CM category code (F20). | Schizotypal disorder is a billable ICD-10-CM diagnosis code (F21). |
| Includes | — | Borderline schizophrenia Latent schizophrenia Latent schizophrenic reaction Prepsychotic schizophrenia |
| Use additional code | code, if applicable, to identify: other specified cognitive deficit (R41.84-) | — |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources