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Compare/F20 vs F23

F20 vs F23

F20 (Schizophrenia) compared with F23 (Brief psychotic disorder), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. F20 carries an Excludes1 note covering F23: “brief psychotic disorder (F23)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

No — do not report together. F20 carries an Excludes1 note covering F23: “schizophrenic reaction NOS (F23)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

F20SchizophreniaF23Brief psychotic disorder
Billing statusNon-billable header

Report instead: F20.0, F20.1, F20.2, F20.3, F20.5

Billable
ClassificationF01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99)F01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99)
DefinitionSchizophrenia is a non-billable ICD-10-CM category code (F20).Brief psychotic disorder is a billable ICD-10-CM diagnosis code (F23).
Includes
Paranoid reaction
Psychogenic paranoid psychosis
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