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Alphabetic Index and Tabular path
HCC Buddy public API, FY2026 Apr updateSource load source requiredSource year 2026Updated 2026-04-01

Index trail

Delusional disorders

See Tabular List: F22

F22, Delusional disorders

Selected code, source checked for the selected effective period

Commonly confused codes

official source

Not listed for this effective period.

Code details and official notes
billableHCC mapped

Includes

official source
  • Delusional dysmorphophobia
  • Involutional paranoid state
  • Paranoia
  • Paranoia querulans
  • Paranoid psychosis
  • Paranoid state
  • Paraphrenia (late)
  • Sensitiver Beziehungswahn

Excludes 1

official source
  • mood [affective] disorders with psychotic symptoms (F30.2, F31.2, F31.5, F31.64, F32.3, F33.3)
  • paranoid schizophrenia (F20.0)

Excludes 2

official source
  • paranoid personality disorder (F60.0)
  • paranoid psychosis, psychogenic (F23)
  • paranoid reaction (F23)

Code First

official source

Not listed for this effective period.

Use Additional

official source

Not listed for this effective period.

Code Also

official source

Not listed for this effective period.

7th character

official source

Not listed for this code in the selected Tabular payload.

Placeholder X

official source

Not listed for this code in the selected Tabular payload.

Laterality

official source

No laterality instruction is listed for this code in the selected Tabular payload.

Effective period

source required
  • FY2026 Apr update
  • Source year 2026
  • Updated 2026-04-01
  • HCC Buddy public API
HCC Buddy
HCC Buddy
Alphabetic Index and Tabular path
HCC Buddy public API, FY2026 Apr updateSource load source requiredSource year 2026Updated 2026-04-01

Index trail

Delusional disorders

See Tabular List: F22

F22, Delusional disorders

Selected code, source checked for the selected effective period

Commonly confused codes

official source

Not listed for this effective period.

Code details and official notes
billableHCC mapped

Includes

official source
  • Delusional dysmorphophobia
  • Involutional paranoid state
  • Paranoia
  • Paranoia querulans
  • Paranoid psychosis
  • Paranoid state
  • Paraphrenia (late)
  • Sensitiver Beziehungswahn

Excludes 1

official source
  • mood [affective] disorders with psychotic symptoms (F30.2, F31.2, F31.5, F31.64, F32.3, F33.3)
  • paranoid schizophrenia (F20.0)

Excludes 2

official source
  • paranoid personality disorder (F60.0)
  • paranoid psychosis, psychogenic (F23)
  • paranoid reaction (F23)

Code First

official source

Not listed for this effective period.

Use Additional

official source

Not listed for this effective period.

Code Also

official source

Not listed for this effective period.

7th character

official source

Not listed for this code in the selected Tabular payload.

Placeholder X

official source

Not listed for this code in the selected Tabular payload.

Laterality

official source

No laterality instruction is listed for this code in the selected Tabular payload.

Effective period

source required
  • FY2026 Apr update
  • Source year 2026
  • Updated 2026-04-01
  • HCC Buddy public API
HCC Buddy Insights

HCC Mapping

HCC 152 Psychosis, Except Schizophrenia (V28)HCC 59 Major Depressive, Bipolar, and Paranoid Disorders (V24)HCC 133 Personality Disorders, Anxiety, and Other Specified Mental Disorders (RxHCC)HCC 59 Major Depressive, Bipolar, and Paranoid Disorders (ESRD/PACE)HCC 87.2 HHS-HCC 87.2; HHS-HCC 2026 benefit year (HHS-HCC)

RAF Value

V28: RAF: 0.484V24: RAF: 0.309RxHCC: RAF: 0.035ESRD/PACE: RAF: 0.066HHS-HCC: RAF: Varies by metal level

Model Period

FY2026 Apr update

Source

source required

Audit Caution

Close codes need documentation support before selection. Do not assume relationships.
Reviewed by the HCC Buddy Coding Team

HCC Buddy workflow band

HCC mapping, RAF, MEAT, source trail, and audit caution stay in view.

MEAT supportaudit cautionsource required

V28

HCC 152

Psychosis, Except Schizophrenia

RAF: 0.484

V24

HCC 59

Major Depressive, Bipolar, and Paranoid Disorders

RAF: 0.309

RxHCC

RxHCC 133

Personality Disorders, Anxiety, and Other Specified Mental Disorders

RAF: 0.035

ESRD/PACE

HCC 59

Major Depressive, Bipolar, and Paranoid Disorders

RAF: 0.066

HHS-HCC

HCC 87.2

HHS-HCC 87.2; HHS-HCC 2026 benefit year

RAF: Varies by metal level

MEAT checklist

Reviewed by the HCC Buddy Coding Team

Monitor, Evaluate, Assess, or Treat must be supported in the provider note.

HCC Buddy guidance, not official ICD-10-CM text.

Audit caution

Reviewed by the HCC Buddy Coding Team

Close codes need documentation support before selection. Do not assume relationships.

HCC Buddy guidance, not official ICD-10-CM text.

Reviewer sign-off

Reviewed by the HCC Buddy Coding Team

MEAT, documentation support, audit cautions, and close-code guidance are reviewed and approved for this effective period.

HCC Buddy enrichment is separate from official source text.

Last updated: April 1, 2026 · Not a substitute for official coding guidelines. No PHI or patient data.
HCC Buddy Code Card
FY 2026 Apr update
F22Billable

Delusional disorders

CMS-HCC V28

HCC 152

RAF 0.484

CMS-HCC V24

HCC 59

RAF 0.309

RxHCC

RxHCC 133

RAF 0.035

Reviewed by the HCC Buddy Coding TeamFY2026 Apr update

Code

F22

V28 HCC

HCC 152

RAF

0.484

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