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F22 vs F60.0

F22 (Delusional disorders) compared with F60.0 (Paranoid personality 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. F22 carries an Excludes2 note covering F60.0: “paranoid personality disorder (F60.0)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Yes, when both are documented. F60.0 carries an Excludes2 note covering F22: “paranoia (F22)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Yes, when both are documented. F60.0 carries an Excludes2 note covering F22: “paranoia querulans (F22)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Yes, when both are documented. F60.0 carries an Excludes2 note covering F22: “paranoid psychosis (F22)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Yes, when both are documented. F60.0 carries an Excludes2 note covering F22: “paranoid state (F22)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

F22Delusional disordersF60.0Paranoid personality disorder
Billing statusBillableBillable
ClassificationF01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99)F01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99)
DefinitionDelusional disorders is a billable ICD-10-CM diagnosis code (F22).Paranoid personality disorder is a billable ICD-10-CM diagnosis code (F60.0).
Includes
Delusional dysmorphophobia
Involutional paranoid state
Paranoia
Paranoia querulans
Expansive paranoid personality (disorder)
Fanatic personality (disorder)
Querulant personality (disorder)
Paranoid personality (disorder)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources