October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

F20-F29 — Schizophrenia, schizotypal, delusional, and other non-mood psychotic disorders

Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.2.26.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in range

18

No clinical group

0

A period cannot be grouped from these.

Barred as primary

0

CMS rejects these in the primary position.

Where these codes group

18 of the 18 codes in F20-F29 group to Behavioral Health. Every code here is assigned a group.

Code families in F20-F29

One page per three-character family: every code in it, whether it can lead a claim, its clinical group and comorbidity subgroup.

Every code in F20-F29

Descriptions are CMS’s own, abbreviated as CMS abbreviates them.

CodeDescriptionClinical groupPrimary position
F200Paranoid schizophreniaFCan lead a claim
F201Disorganized schizophreniaFCan lead a claim
F202Catatonic schizophreniaFCan lead a claim
F203Undifferentiated schizophreniaFCan lead a claim
F205Residual schizophreniaFCan lead a claim
F2081Schizophreniform disorderFCan lead a claim
F2089Other schizophreniaFCan lead a claim
F209Schizophrenia, unspecifiedFCan lead a claim
F21Schizotypal disorderFCan lead a claim
F22Delusional disordersFCan lead a claim
F23Brief psychotic disorderFCan lead a claim
F24Shared psychotic disorderFCan lead a claim
F250Schizoaffective disorder, bipolar typeFCan lead a claim
F251Schizoaffective disorder, depressive typeFCan lead a claim
F258Other schizoaffective disordersFCan lead a claim
F259Schizoaffective disorder, unspecifiedFCan lead a claim
F28Oth psych disorder not due to a sub or known physiol condFCan lead a claim
F29Unsp psychosis not due to a substance or known physiol condFCan lead a claim

Source: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01. 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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