F60.0
BillableParanoid personality disorder
HCC Category Mapping
V28HCC 153 — Personality Disorders and Dissociative Disorders
1.241V24HCC 60 — Personality Disorders
0.000ESRDHCC 60 — Personality Disorders
0.000RxHCCHCC 133 — Personality Disorders, Anxiety, and Other Specified Mental Disorders
0.000What This Code Means
A personality pattern characterized by persistent distrust and suspicion of others, interpreting their actions as deliberately harmful or threatening.
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 traitsF22 (Delusional disorder) — fixed false beliefs, more severe than the suspiciousness of paranoid personality disorderF60.1 (Schizoid personality disorder) — schizoid involves social detachment without the suspiciousness/hostility of paranoid typeF60.2 (Antisocial personality disorder) — involves exploitation of others, not primarily distrust OF othersF41.1 (Generalized anxiety disorder) — anxiety is broader and not characterized by suspiciousness
Code Hierarchy
└F60Specific personality disorders└F60.0Paranoid personality disorder
└F60.0Paranoid personality disorder