F20 - Schizophrenia
|Status:||Not Valid for Submission|
F20 is a non-specific and non-billable ICD-10 code code, consider using a code with a higher level of specificity for a diagnosis of schizophrenia. The code is not specific and is NOT valid for the year 2023 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.
- Schizophrenia-. a severe emotional disorder of psychotic depth characteristically marked by a retreat from reality with delusion formation, hallucinations, emotional disharmony, and regressive behavior.
- Schizophrenia Spectrum and Other Psychotic Disorders-. marked disorders of thought (delusions, hallucinations, or other thought disorder accompanied by disordered affect or behavior), and deterioration from a previous level of functioning. individuals have one o more of the following symptoms: delusions, hallucinations, and disorganized speech. (from dsm-5)
- Schizophrenia, Catatonic-. a type of schizophrenia characterized by abnormality of motor behavior which may involve particular forms of stupor, rigidity, excitement or inappropriate posture.
- Schizophrenia, Childhood-. an obsolete concept, historically used for childhood mental disorders thought to be a form of schizophrenia. it was in earlier versions of dsm but is now included within the broad concept of pervasive development disorders.
- Schizophrenia, Disorganized-. a type of schizophrenia characterized by frequent incoherence; marked loosening of associations, or grossly disorganized behavior and flat or grossly inappropriate affect that does not meet the criteria for the catatonic type; associated features include extreme social withdrawal, grimacing, mannerisms, mirror gazing, inappropriate giggling, and other odd behavior. (dorland, 27th ed)
- Schizophrenia, Paranoid-. a chronic form of schizophrenia characterized primarily by the presence of persecutory or grandiose delusions, often associated with hallucination.
- Schizophrenia, Treatment-Resistant-. a subset of schizophrenia with an inadequate response in target symptoms following treatment with two or more antipsychotics.
- Schizotypal Personality Disorder-. a personality disorder in which there are oddities of thought (magical thinking, paranoid ideation, suspiciousness), perception (illusions, depersonalization), speech (digressive, vague, overelaborate), and behavior (inappropriate affect in social interactions, frequently social isolation) that are not severe enough to characterize schizophrenia.
- Hallucinations-. subjectively experienced sensations in the absence of an appropriate stimulus, but which are regarded by the individual as real. they may be of organic origin or associated with mental disorders.
Specific Coding for Schizophrenia
Non-specific codes like F20 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for schizophrenia:
- BILLABLE CODE - Use F20.0 for Paranoid schizophrenia
- BILLABLE CODE - Use F20.1 for Disorganized schizophrenia
- BILLABLE CODE - Use F20.2 for Catatonic schizophrenia
- BILLABLE CODE - Use F20.3 for Undifferentiated schizophrenia
- BILLABLE CODE - Use F20.5 for Residual schizophrenia
- NON-BILLABLE CODE - F20.8 for Other schizophrenia
- BILLABLE CODE - Use F20.81 for Schizophreniform disorder
- BILLABLE CODE - Use F20.89 for Other schizophrenia
- BILLABLE CODE - Use F20.9 for Schizophrenia, unspecified
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to this diagnosis code:
Type 1 ExcludesType 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
- brief psychotic disorder F23
- cyclic schizophrenia F25.0
- mood affective disorders with psychotic symptoms F30.2 F31.2 F31.5 F31.64 F32.3 F33.3
- schizoaffective disorder F25
- schizophrenic reaction NOS F23
Type 2 ExcludesType 2 Excludes
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
Schizophrenia is a serious brain illness. People who have it may hear voices that aren't there. They may think other people are trying to hurt them. Sometimes they don't make sense when they talk. The disorder makes it hard for them to keep a job or take care of themselves.
Symptoms of schizophrenia usually start between ages 16 and 30. Men often develop symptoms at a younger age than women. People usually do not get schizophrenia after age 45. There are three types of symptoms:
- Psychotic symptoms distort a person's thinking. These include hallucinations (hearing or seeing things that are not there), delusions (beliefs that are not true), trouble organizing thoughts, and strange movements.
- "Negative" symptoms make it difficult to show emotions and to function normally. A person may seem depressed and withdrawn.
- Cognitive symptoms affect the thought process. These include trouble using information, making decisions, and paying attention.
No one is sure what causes schizophrenia. Your genes, environment, and brain chemistry may play a role.
There is no cure. Medicine can help control many of the symptoms. You may need to try different medicines to see which works best. You should stay on your medicine for as long as your doctor recommends. Additional treatments can help you deal with your illness from day to day. These include therapy, family education, rehabilitation, and skills training.
NIH: National Institute of Mental Health
[Learn More in MedlinePlus]
Schizophrenia is a brain disorder classified as a psychosis, which means that it affects a person's thinking, sense of self, and perceptions. The disorder typically becomes evident during late adolescence or early adulthood.
Signs and symptoms of schizophrenia include false perceptions called hallucinations. Auditory hallucinations of voices are the most common hallucinations in schizophrenia, but affected individuals can also experience hallucinations of visions, smells, or touch (tactile) sensations. Strongly held false beliefs (delusions) are also characteristic of schizophrenia. For example, affected individuals may be certain that they are a particular historical figure or that they are being plotted against or controlled by others.
People with schizophrenia often have decreased ability to function at school, at work, and in social settings. Disordered thinking and concentration, inappropriate emotional responses, erratic speech and behavior, and difficulty with personal hygiene and everyday tasks can also occur. People with schizophrenia may have diminished facial expression and animation (flat affect), and in some cases become unresponsive (catatonic). Substance abuse and suicidal thoughts and actions are common in people with schizophrenia.
Certain movement problems such as tremors, facial tics, rigidity, and unusually slow movement (bradykinesia) or an inability to move (akinesia) are common in people with schizophrenia. In most cases these are side effects of medicines prescribed to help control the disorder. However, some affected individuals exhibit movement abnormalities before beginning treatment with medication.
Some people with schizophrenia have mild impairment of intellectual function, but schizophrenia is not associated with the same types of physical changes in the brain that occur in people with dementias such as Alzheimer disease.
Psychotic disorders such as schizophrenia are different from mood disorders, including depression and bipolar disorder, which primarily affect emotions. However, these disorders often occur together. Individuals who exhibit strong features of both schizophrenia and mood disorders are often given the diagnosis of schizoaffective disorder.
[Learn More in MedlinePlus]
- FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
- FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)