ICD Code F20-

ICD code F20- is schizophrenia, a chronic mental health disorder characterized by disturbances in thought, perception, and behavior.

1. Presence of characteristic psychotic symptoms such as delusions, hallucinations, or disorganized speech persisting for at least one month

2. Marked social or occupational dysfunction

3. Continuous signs of disturbance persisting for at least six months, which may include prodromal or residual symptoms

4. Exclusion of schizoaffective disorder, mood disorder with psychotic features, and psychosis due to a medical condition or substance use

5. Negative symptoms such as affective flattening, alogia, or avolition may be present

6. Significant decline in functioning compared to prior to onset

7. Symptoms not attributable to autism spectrum disorder unless prominent delusions or hallucinations are also present

Relevant CPT codes that may be used to treat ICD code F20- include:

- 90791 (Psychiatric diagnostic evaluation)

- 90792 (Psychiatric diagnostic evaluation with medical services)

- 90832 (Psychotherapy, 30 minutes with patient)

- 90834 (Psychotherapy, 45 minutes with patient)

- 90837 (Psychotherapy, 60 minutes with patient)

- 90846 (Family psychotherapy, without patient present)

- 90847 (Family psychotherapy, with patient present)

- 90853 (Group psychotherapy)

- 99213, 99214, 99215 (Evaluation and management services, established patient)

- 96372 (Therapeutic, prophylactic, or diagnostic injection)

- J3490, J1631, J2794 (Medication administration codes, as applicable)

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