F22 Delusional disorders

✓ Billable HCC RxHCC ICD-10-CM 2026

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The ICD-10-CM code for Delusional disorders is F22 (FY2026). It is a billable, claim-ready diagnosis code.

Classification

Section
F20-F29: Schizophrenia, schizotypal, delusional, and other non-mood psychotic disorders (F20-F29)
Category F22
1 code (1 billable)
FY2026 Status
Stable since FY2024

Also Known As

ICD-10-CM Alphabetic Index entries that lead to F22:

  • Sander's disease (paranoia)
  • Sensitiver Beziehungswahn
  • Paranoia (querulans)
  • Cotard's syndrome
  • Lycanthropy
  • Paraphrenia, paraphrenic (late)
  • Disorder (of) › paranoid
  • Disorder (of) › delusional (persistent) (systematized)
Excludes1
Not coded here. These conditions should NOT be coded together with F22.
  • mood [affective] disorders with psychotic symptoms (F30.2, F31.2, F31.5, F31.64, F32.3, F33.3)
  • paranoid schizophrenia (F20.0)
Excludes2
Not included here. These conditions are coded elsewhere but may be coded together if applicable.
  • paranoid personality disorder (F60.0)
  • paranoid psychosis, psychogenic (F23)
  • paranoid reaction (F23)

Inclusion Terms

  • Delusional dysmorphophobia
  • Involutional paranoid state
  • Paranoia
  • Paranoia querulans
  • Paranoid psychosis
  • Paranoid state
  • Paraphrenia (late)
  • Sensitiver Beziehungswahn

U.S. Hospital Utilization

  • An estimated 66,910 U.S. inpatient stays in 2023 included F22 among the documented diagnoses.
  • 7,540 stays listed it as the principal diagnosis.

Source: National Inpatient Sample (NIS), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, 2016–2023. National survey-weighted estimates.

Official Coding Guidelines

Pain disorders related to psychological factors (TOC entry)

a. Pain disorders related to psychological factors ..................................................................... 43

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.5.a
Psychoactive substance use disorders (TOC entry)

b. Mental and behavioral disorders due to psychoactive substance use ................................... 43

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.5.b

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

Cite This Page

Reference F22 with the canonical source and edition:

F22 — Delusional disorders. ICD-10 Coding Pro (ICD-10-CM FY2026). https://icd10codingpro.com/codes/F22

Canonical URL: https://icd10codingpro.com/codes/F22

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Reviewed by Prajwal Shrestha, CPC, CRC
Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) · AAPC Member ID 01997614 · About · Editorial policy · Content last reviewed: 2025-10-01

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