ICD-10-CM 2027
ICD-10 code for paranoid state
From the official ICD-10-CM alphabetic index entry “State (of) › paranoid”. Page updated September 29, 2026.
About coding paranoid state
The ICD-10-CM code for paranoid state is F22 (Delusional disorders). The official index lists 6 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 state codes (official index)
Don't confuse with (Excludes1 for F22)
Common questions about paranoid state ICD-10 codes
What is the ICD-10 code for paranoid state?
- F22 — Delusional disorders. More specific codes apply when the documentation supports them: F22, F22, F22, F06.2 and others below.
What is the ICD-10 code for climacteric paranoid state?
- F22 — Delusional disorders.
What is the ICD-10 code for involutional paranoid state?
- F22 — Delusional disorders.
What is the ICD-10 code for menopausal paranoid state?
- F22 — Delusional disorders.
What is the ICD-10 code for organic paranoid state?
- F06.2 — Psychotic disorder with delusions due to known physiological condition.
What is the ICD-10 code for senile paranoid state?
- F03 — Unspecified dementia (header code; choose a more specific subcode).
What is the ICD-10 code for simple paranoid state?
- 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.