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ICD-10-CM 2027

ICD-10 code for paranoid disorder

F22

Delusional disorders

✓ Billable / specific

From the official ICD-10-CM alphabetic index entry “Disorder (of) › paranoid”. Page updated September 29, 2026.

About coding paranoid disorder

The ICD-10-CM code for paranoid disorder is F22 (Delusional disorders). The official index lists 2 more specific codes, so check the documentation for details such as type, cause, site or severity before settling on F22.

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.

More specific paranoid disorder codes (official index)

  • induced F24 — Shared psychotic disorder
  • shared F24 — Shared psychotic disorder

Don't confuse with (Excludes1 for F22)

Common questions about paranoid disorder ICD-10 codes

What is the ICD-10 code for paranoid disorder?

F22 — Delusional disorders. More specific codes apply when the documentation supports them: F24, F24.

What is the ICD-10 code for induced paranoid disorder?

F24 — Shared psychotic disorder.

What is the ICD-10 code for shared paranoid disorder?

F24 — Shared psychotic disorder.

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.