F22 vs F30.2
F22 (Delusional disorders) compared with F30.2 (Manic episode, severe with psychotic symptoms), 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. F22 carries an Excludes1 note covering F30.2: “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
| F22Delusional disorders | F30.2Manic episode, severe with psychotic symptoms | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | F01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99) | F01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99) |
| Definition | Delusional disorders is a billable ICD-10-CM diagnosis code (F22). | Manic episode, severe with psychotic symptoms is a billable ICD-10-CM diagnosis code (F30.2). |
| Includes | Delusional dysmorphophobia Involutional paranoid state Paranoia Paranoia querulans | bipolar disorder, single manic episode mixed affective episode Manic stupor Mania with mood-congruent psychotic symptoms |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources