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Compare/F20 vs F31.64

F20 vs F31.64

F20 (Schizophrenia) compared with F31.64 (Bipolar disorder, current episode mixed, severe, with psychotic features), 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 F31.64: “mood [affective] disorders with psychotic symptoms (F30.2, F31.2, F31.5, F31.64, F32.3, F33.3)”

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

F20SchizophreniaF31.64Bipolar disorder, current episode mixed, severe, with psychotic features
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).Bipolar disorder, current episode mixed, severe, with psychotic features is a billable ICD-10-CM diagnosis code (F31.64).
Includes
bipolar I disorder
bipolar type I disorder
manic-depressive illness
manic-depressive 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