F20.2 ICD-10-CM Code: Catatonic schizophrenia
F20.2 maps to CMS-HCC V28 151. A source-labeled RAF reference is available. Confirm the documented diagnosis and applicable coding requirements. MEAT criteria · RAF Calculator · HCC Buddy coding tools
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FY 2026 Apr update / Mental, Behavioral and Neurodevelopmental disorders (F01-F99) / Schizophrenia, schizotypal, delusional, and other non-mood psychotic disorders (F20-F29)
F20.2
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceCatatonic schizophrenia
A type of schizophrenia where a person exhibits unusual motor behaviors, such as remaining motionless for extended periods, excessive purposeless movement, or mimicking others' movements.
Buddy Insight
Catatonic schizophrenia is characterized by prominent psychomotor disturbances including stupor, rigidity, waxy flexibility, negativism, mutism, or excessive purposeless motor activity.
CMS-HCC V28
MappedHCC 151
Code-level coefficient reference
CMS-HCC V24
HistoricalHistorical
Not used for CY2026 payment
ACA/HHS
N/A—
Not mapped
ESRD/PACE
N/A—
Not mapped
RXHCC
MappedHCC 130
Code-level coefficient reference
Code Book Path
Inclusion Terms
Official- Schizophrenic catalepsy
- Schizophrenic catatonia
- Schizophrenic flexibilitas cerea
Excludes 2
Official- symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)Inherited from F01-F99, F20
- schizophrenic reaction in:Inherited from F01-F99, F20
- alcoholism (F10.15-, F10.25-, F10.95-)Inherited from F01-F99, F20
- brain disease (F06.2)Inherited from F01-F99, F20
- epilepsy (F06.2)Inherited from F01-F99, F20
- psychoactive drug use (F11-F19 with .15. .25, .95)Inherited from F01-F99, F20
- schizotypal disorder (F21)Inherited from F01-F99, F20
Related Codes
Includes
Official- disorders of psychological developmentInherited from F01-F99
Excludes 1
Official- catatonic stupor (R40.1)
- brief psychotic disorder (F23)Inherited from F20
- cyclic schizophrenia (F25.0)Inherited from F20
- mood [affective] disorders with psychotic symptoms (F30.2, F31.2, F31.5, F31.64, F32.3, F33.3)Inherited from F20
- schizoaffective disorder (F25.-)Inherited from F20
- schizophrenic reaction NOS (F23)Inherited from F20
Code First
OfficialNo Code First sequencing instructions are included in this display for F20.2. Check the code and parent instructions in the Code Book.
Use Additional
Official- code, if applicable, to identify:Inherited from F20
- other specified cognitive deficit (R41.84-)Inherited from F20
Code Also
OfficialNo Code Also instructions are included in this display for F20.2. Check the code and parent instructions in the Code Book.
Buddy Documentation Tip
MEAT Support
Audit Caution
Common Mistakes
Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →
Is F20.2 an HCC code?
Yes. F20.2 (Catatonic schizophrenia) maps to HCC 151, Schizophrenia under the CMS-HCC V28 risk adjustment model, with a source-labeled community non-dual aged reference coefficient of 0.511. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes. It is billable for payment year 2026.
Coder answer: F20.2 is billable and maps to V28 HCC 151, Schizophrenia. Open it in the Code Book for the tabular path, RAF, and MEAT checklist.
- Code
- F20.2
- Description
- Catatonic schizophrenia
- HCC (V28)
- HCC 151 — Schizophrenia
- RAF reference coefficient
- 0.511
- Billable
- Yes
- Payment year
- 2026
HCC Category Mapping
These are source-labeled model coefficients, not member totals. A category may still be removed by hierarchy or model cleanup rules. Weights are not directly comparable across models: CMS-HCC V28 and V24 use Community, Non-Dual, Aged; ESRD uses the dialysis continuing-enrollee model; RxHCC is the Part D continuing-enrollee, non-low-income, aged weight (a larger scale than CMS-HCC). ACA/HHS has no single weight — it varies by metal level. Actual per-patient RAF contribution depends on member context, hierarchy and cleanup rules, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains available for historical review.
Work F20.2 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →
MEAT review for F20.2
For F20.2, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule.
- MMonitor: signs, symptoms, disease progression, or lab trending documented in the note
- EEvaluate: test results, medication response, or physical findings reviewed by the provider
- AAssess: explicit mention in the assessment or plan with acknowledgment of status
- TTreat: medication, referral, procedure, therapy, or counseling tied to the diagnosis
Coder workflow notes
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What This Code Means
F20.2 is the ICD-10-CM diagnosis code for catatonic schizophrenia. A type of schizophrenia where a person exhibits unusual motor behaviors, such as remaining motionless for extended periods, excessive purposeless movement, or mimicking others' movements. F20.2 sits in the ICD-10-CM chapter for mental, behavioral and neurodevelopmental disorders (f01-f99), within the section covering schizophrenia, schizotypal, delusional, and other non-mood psychotic disorders (f20-f29).
Under the CMS-HCC V28 risk adjustment model, F20.2 maps to Schizophrenia (HCC 151) with a source-labeled community, non-dual, aged reference coefficient of 0.511. No V24 mapping is shown for F20.2; use the applicable model and payment year when reviewing the V28 mapping. For CY2026 non-PACE Medicare Advantage, CMS uses 100% of the 2024 CMS-HCC model (V28). PACE uses a separate model blend. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes.
Catatonic schizophrenia, catatonic motor symptoms (rigidity, posturing, mutism, waxy flexibility) as the prominent feature. Provider must document the catatonic subtype. For F20.2, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule. When documentation is ambiguous, coders should issue a provider query rather than assume the highest-specificity variant.
HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for F20.2 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Catatonic schizophrenia, catatonic motor symptoms (rigidity, posturing, mutism, waxy flexibility) as the prominent feature. Provider must document the catatonic subtype.
- •Distinguish from catatonia associated with other disorders (F06.1). F20.2 is specifically catatonic schizophrenia.
Clinical Significance
Catatonic schizophrenia is characterized by prominent psychomotor disturbances including stupor, rigidity, waxy flexibility, negativism, mutism, or excessive purposeless motor activity. This is a potentially life-threatening presentation requiring urgent medical attention, as patients may become unable to eat, drink, or care for themselves. The severe nature of catatonic episodes, which may require benzodiazepines or electroconvulsive therapy, justifies the high HCC weight.
Documentation Requirements
- ✓Diagnosis of schizophrenia with catatonic features by a qualified mental health professional
- ✓Documentation of specific catatonic symptoms (stupor, catalepsy, waxy flexibility, mutism, negativism, posturing, mannerisms, stereotypy, agitation, grimacing, echolalia, echopraxia)
- ✓At least three catatonic features should be documented per diagnostic criteria
- ✓Assessment of nutritional status and ability to maintain hydration during catatonic episodes
- ✓Current treatment approach (benzodiazepines, electroconvulsive therapy, antipsychotics)
- ✓Monitoring plan for medical complications (dehydration, deep vein thrombosis, aspiration)
Excludes 1, Do NOT code together
- catatonic stupor (R40.1)
Commonly Confused Codes
- •F06.1: Catatonic disorder due to known physiological condition; use when catatonia has a medical cause (e.g., autoimmune encephalitis)
- •F20.0: Paranoid schizophrenia lacks the motor features characteristic of catatonic schizophrenia
- •F20.1: Disorganized schizophrenia has behavioral disorganization but not the specific motor features of catatonia
- •R40.1: Stupor as a symptom code should not be used when catatonic schizophrenia is diagnosed
- •F31.2: Bipolar disorder with catatonic features may present similarly but involves mood episodes