ICD-10-CM 2027
ICD-10 code for delusional insanity
From the official ICD-10-CM alphabetic index entry “Insanity, insane › delusional”. Page updated September 29, 2026.
About coding delusional insanity
The ICD-10-CM code for delusional insanity is F22 (Delusional disorders).
Don't report F22 together with the conditions in its Excludes1 note: mood [affective] disorders with psychotic symptoms (F30.2, F31.2, F31.5, F31.64, F32.3, F33.3) and paranoid schizophrenia (F20.0).
The conditions in its Excludes2 note aren't part of F22, but may be coded alongside it if the patient has both: paranoid personality disorder (F60.0), paranoid psychosis, psychogenic (F23) and paranoid reaction (F23).
It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.
Don't confuse with (Excludes1 for F22)
Common questions about delusional insanity ICD-10 codes
What is the ICD-10 code for delusional insanity?
- F22 — Delusional disorders.
Is F22 billable?
- Yes. F22 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can F22 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict F22 as a principal diagnosis.
Is F22 a CC or MCC?
- No. F22 is neither a CC nor an MCC under MS-DRG v44.0.