F60.0 ICD-10-CM Code: Paranoid personality disorder
F60.0 maps to CMS-HCC V28 153. A source-labeled RAF reference is available. Confirm the documented diagnosis and applicable coding requirements. MEAT criteria · RAF Calculator · free HCC coding tools
HCC Buddy Code Card
Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.
FY 2026 Apr update / Mental, Behavioral and Neurodevelopmental disorders (F01-F99) / Disorders of adult personality and behavior (F60-F69)
F60.0
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceParanoid personality disorder
A personality pattern characterized by persistent distrust and suspicion of others, interpreting their actions as deliberately harmful or threatening.
Buddy Insight
Paranoid personality disorder is characterized by a pervasive pattern of distrust and suspiciousness of others, interpreting their motives as malevolent.
CMS-HCC V28
MappedHCC 153
Coefficient HCC 153: 0.396 (Community Non-Dual Aged (CNA))
CMS-HCC V24
HistoricalHistorical
Not used for CY2026 payment
ACA/HHS
Context neededHCC 090
Coefficient needs member context
ESRD/PACE
Context neededHCC 60
Coefficient needs member context
RXHCC
MappedHCC 133
Code-level coefficient reference
Code Book Path
Inclusion Terms
Official- Expansive paranoid personality (disorder)
- Fanatic personality (disorder)
- Querulant personality (disorder)
- Paranoid personality (disorder)
- Sensitive paranoid personality (disorder)
Excludes 2
Official- paranoia (F22)
- paranoia querulans (F22)
- paranoid psychosis (F22)
- paranoid schizophrenia (F20.0)
- paranoid state (F22)
- symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)Inherited from F01-F99
Related Codes
Includes
Official- disorders of psychological developmentInherited from F01-F99
Excludes 1
OfficialNo Excludes 1 notes are included in this display for F60.0. Check the code and parent instructions in the Code Book.
Code First
OfficialNo Code First sequencing instructions are included in this display for F60.0. Check the code and parent instructions in the Code Book.
Use Additional
OfficialNo Use Additional Code instructions are included in this display for F60.0. Check the code and parent instructions in the Code Book.
Code Also
OfficialNo Code Also instructions are included in this display for F60.0. 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 F60.0 an HCC code?
Yes. F60.0 (Paranoid personality disorder) maps to HCC 153, Personality Disorders; Anorexia/Bulimia Nervosa under the CMS-HCC V28 risk adjustment model, with a source-labeled community non-dual aged reference coefficient of 0.396. 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: F60.0 is billable and maps to V28 HCC 153, Personality Disorders; Anorexia/Bulimia Nervosa. Open it in the Code Book for the tabular path, RAF, and MEAT checklist.
- Code
- F60.0
- Description
- Paranoid personality disorder
- HCC (V28)
- HCC 153 — Personality Disorders; Anorexia/Bulimia Nervosa
- RAF reference coefficient
- 0.396
- 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 F60.0 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →
MEAT review for F60.0
For F60.0, 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
Get the V28 mapping + MEAT cheat sheet
One printable reference: check representative V28 mappings and the documentation reminders your note needs. Free, no card.
Free PDF. No card. Unsubscribe anytime.
What This Code Means
F60.0 is the ICD-10-CM diagnosis code for paranoid personality disorder. A personality pattern characterized by persistent distrust and suspicion of others, interpreting their actions as deliberately harmful or threatening. F60.0 sits in the ICD-10-CM chapter for mental, behavioral and neurodevelopmental disorders (f01-f99), within the section covering disorders of adult personality and behavior (f60-f69).
Under the CMS-HCC V28 risk adjustment model, F60.0 maps to Personality Disorders; Anorexia/Bulimia Nervosa (HCC 153) with a source-labeled community, non-dual, aged reference coefficient of 0.396. No V24 mapping is shown for F60.0; 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.
Document specific examples of paranoid ideation or suspicious behavior patterns in the clinical record. For F60.0, 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 F60.0 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Document specific examples of paranoid ideation or suspicious behavior patterns in the clinical record
- •Distinguish from paranoid delusions in psychotic disorders; paranoid personality disorder involves personality traits rather than fixed false beliefs
Clinical Significance
Paranoid personality disorder is characterized by a pervasive pattern of distrust and suspiciousness of others, interpreting their motives as malevolent. This enduring pattern significantly impacts healthcare engagement, medication compliance, and therapeutic relationships. Patients often refuse treatment or have adversarial relationships with providers, complicating management of comorbid conditions.
Documentation Requirements
- ✓Documentation of pervasive distrust and suspiciousness of others beginning by early adulthood
- ✓Evidence of at least four of the DSM-5 criteria (suspects exploitation/harm, doubts loyalty, reluctant to confide, reads demeaning meanings, bears grudges, perceives attacks on character, suspicious of partner fidelity)
- ✓Pattern is enduring, inflexible, and pervasive across contexts (not limited to specific situations)
- ✓Does not occur exclusively during schizophrenia, bipolar disorder, or depressive disorder with psychotic features
- ✓Functional impairment in occupational and interpersonal domains
Excludes 2, Not included here, may code separately
Commonly Confused Codes
- •F20.0 (Paranoid schizophrenia): schizophrenia involves frank psychotic symptoms (hallucinations, delusions), not just personality traits
- •F22 (Delusional disorder): fixed false beliefs, more severe than the suspiciousness of paranoid personality disorder
- •F60.1 (Schizoid personality disorder): schizoid involves social detachment without the suspiciousness/hostility of paranoid type
- •F60.2 (Antisocial personality disorder): involves exploitation of others, not primarily distrust OF others
- •F41.1 (Generalized anxiety disorder): anxiety is broader and not characterized by suspiciousness