F20 vs F32.3
F20 (Schizophrenia) compared with F32.3 (Major depressive disorder, single episode, 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 F32.3: “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
| F20Schizophrenia | F32.3Major depressive disorder, single episode, severe with psychotic features | |
|---|---|---|
| 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). | Major depressive disorder, single episode, severe with psychotic features is a billable ICD-10-CM diagnosis code (F32.3). |
| Includes | — | single episode of agitated depression single episode of depressive reaction single episode of major depression single episode of psychogenic depression |
| 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