Psychogenic paranoid psychosis

This code describes a severe mental disorder characterized by prominent paranoid delusions, such as beliefs of persecution or conspiracy, that are primarily psychological in origin rather than organic. Patients experience a significant break from reality, often with disorganized thought processes and behavior, but without the prominent hallucinations or thought disorder seen in other psychotic conditions.

Use this code when documentation clearly indicates a diagnosis of psychosis where paranoia is the predominant feature and the etiology is determined to be psychogenic. This typically applies to acute or subacute episodes of paranoid delusions in the absence of a primary mood disorder, substance use, or general medical condition. Documentation should specify "psychogenic" or "reactive" to differentiate from other forms of paranoid psychosis.

• Differentiate from organic paranoid states (e.g., due to substance use or medical conditions) which would be coded elsewhere.
• Ensure the documentation specifies "psychogenic" or "reactive" to support this specific diagnosis.
• Consider sequencing if another primary mental health condition is also present, following ICD-9-CM guidelines for multiple diagnoses.