ICD-10 · PDGM grouping
F20 Schizophrenia
All 8 codes in the F20 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
Codes in family
8
Can lead a claim
8
Cannot lead a claim
0
What CMS assigns to F20
All 8 codes group to Behavioral Health. 6 of the 8 count toward the Schizophrenia and Schizoaffective Disorders comorbidity subgroup; 2 are assigned none. Every code can lead a claim.
- Schizophrenia and Schizoaffective Disorders
Every code in F20
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| F20.0 | Paranoid schizophrenia | Can lead a claim | F | Schizophrenia and Schizoaffective Disorders |
| F20.1 | Disorganized schizophrenia | Can lead a claim | F | None |
| F20.2 | Catatonic schizophrenia | Can lead a claim | F | None |
| F20.3 | Undifferentiated schizophrenia | Can lead a claim | F | Schizophrenia and Schizoaffective Disorders |
| F20.5 | Residual schizophrenia | Can lead a claim | F | Schizophrenia and Schizoaffective Disorders |
| F20.8 Other schizophrenia | ||||
| F20.81 | Schizophreniform disorder | Can lead a claim | F | Schizophrenia and Schizoaffective Disorders |
| F20.89 | Other schizophrenia | Can lead a claim | F | Schizophrenia and Schizoaffective Disorders |
| F20.9 | Schizophrenia, unspecified | Can lead a claim | F | Schizophrenia and Schizoaffective Disorders |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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