2026 ICD-10-CM Diagnosis Code F60.0Paranoid personality disorder
ICD-10-CM Codes›F01–F99›F60-F69›F60
- Billable — Valid for Submission
- Risk Adjusts — HCC 153
- Chronic Condition
F60.0 is a billable ICD-10-CM diagnosis code for paranoid personality disorder. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 883. Coders also document this condition as cluster A personality disorder. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Personality disorders.
For Medicare Advantage risk adjustment, F60.0 maps to CMS-HCC Category 153 (Personality Disorders; Anorexia/Bulimia Nervosa) under the V28 model, adding a risk factor of about 0.396 for a community, non-dual, aged beneficiary in payment year 2026.
Code Identity
Code Classification
Medicare Risk Adjustment (HCC)Billing
F60.0 maps to a payment category in the CMS-HCC model used to risk-adjust Medicare Advantage payments. Weights are the published community factors for payment year 2026.
Source: CMS Payment Year 2026 risk adjustment mappings and model software. Weights are relative factors, not dollar amounts; a beneficiary's total RAF also includes demographics and interactions. Browse all CMS-HCC categories.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Cluster A personality disorder
- Fanatic personality
- Paranoid character
- Paranoid personality disorder
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Inclusion Terms
- Expansive paranoid personality (disorder)
- Fanatic personality (disorder)
- Querulant personality (disorder)
- Paranoid personality (disorder)
- Sensitive paranoid personality (disorder)
Type 2 Excludes
- paranoia F22
- paranoia querulans F22
- paranoid psychosis F22
- paranoid schizophrenia F20.0
- paranoid state F22
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
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.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Disorder (of) See Also: Disease;
personality See Also: Personality; F60.9
expansive paranoid F60.0
paranoid F60.0
personality F60.0
tendencies F60.0
traits F60.0
trends F60.0
expansive paranoid F60.0
fanatic F60.0
paranoid F60.0
querulant F60.0
sensitive paranoid F60.0
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Paranoid Personality Disorder
a personality disorder characterized by the avoidance of accepting deserved blame and an unwarranted view of others as malevolent. the latter is expressed as suspiciousness, hypersensitivity, and mistrust.Paranoid Personality Disorder
a disorder characterized by an enduring pattern of behavior based on the pervasive belief that the motives of others are malevolent and that they should not be trusted.
Patient EducationClinical
Personality Disorders
Your personality is your own way of thinking, feeling, behaving, and relating to others. Once you become an adult, your personality usually doesn't change much.
The full article covers:
- What is personality?
- What are personality disorders?
- What are the types of personality disorders?
- What causes personality disorders?
- What are the symptoms of personality disorders?
- How are personality disorders diagnosed?
- How are personality disorders treated?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert F60.0 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About F60.0Overview
What is the ICD-10 code for paranoid personality disorder?
The ICD-10-CM code for paranoid personality disorder is F60.0 (sometimes written as F600). It is billable on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
Is F60.0 (Specific personality disorders) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report paranoid personality disorder on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does F60.0 group to?
When paranoid personality disorder is the principal diagnosis on an inpatient stay, it groups to MS-DRG 883 (disorders of Personality and Impulse Control), which carries a relative weight of 1.9663. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of F60.0?
Under the General Equivalence Mappings, paranoid personality disorder converts to ICD-9-CM 301.0 (paranoid personality). The mapping is a direct match.
What HCC is F60.0?
F60.0 (paranoid personality disorder) maps to CMS-HCC Category 153 (Personality Disorders; Anorexia/Bulimia Nervosa), commonly written as HCC 153, in the CMS-HCC V28 model used for Medicare Advantage risk adjustment in payment year 2026. It mapped to HCC 60 under the retired V24 model. It also maps in the ESRD (V24) model. In the Part D prescription drug model it maps to RxHCC 133.
Does F60.0 risk-adjust for Medicare Advantage payment?
Yes. When documented and reported on a Medicare Advantage encounter, F60.0 adds a risk adjustment factor of about 0.396 to the beneficiary's RAF score for a community, non-dual, aged enrollee (published V28 weights range from 0.199 to 0.464 depending on the payment segment). A more severe related category (HCC 151 and HCC 152) supersedes it when both are reported. See the full factor table on the HCC 153 category page.
