Understanding the ICD-10 Code for Paranoid Personality Disorder

Paranoid Personality Disorder is a specific mental and behavioral disorder that can be difficult to diagnose and categorize. To make categorization easy, the World Health Organization (WHO) uses a standardized coding system to classify diseases and behavioral disorders. This coding system helps doctors track treatment plans, see updates, and conduct further research into treatments. 

What Are ICD-10 Medical Codes?

ICD-10 medical codes create a system of medical coding that medical professionals can use to track and categorize diseases. ICD stands for International Classification of Diseases, and the number 10 stands for the 10th edition. WHO publishes these medical codes to provide a standardized method of tracking and recognizing diseases and other health-related conditions. 

These codes are updated about once a decade to facilitate more accurate coding. ICD-9 was published in 1977 and ICD-10 in 1992. The United States switched from ICD-9 to ICD-10 in 2015. ICD medical codes have been translated into 43 languages

Some scholars believe the classification of diseases dates back to 1763, when a French physician, Dr François Bossier de Sauvages de Lacroix, classified 10 distinct diseases. In 1898, the U.S. adopted the International List of Causes of Death system as a way to classify diseases. The system was updated and published in 1900, 1910, 1920, 1929, and 1938. In 1948, WHO took charge of the coding system and changed the name to what it is called today: the International Classification of Diseases.

Why Are ICD-10 Codes Important?

Although some hospitals and medical professionals are wary of updating their systems due to the disruption they may cause in billing systems, the ICD-10 medical codes are necessary and useful. 

First, the ICD-10 medical codes provide a standardized way to classify diseases. This allows global organizations to classify diseases, update them, and track them worldwide using a uniform and consistent method.

Healthcare professionals also use ICD-10 codes for billing or insurance purposes when doctors diagnose diseases and other health-related conditions. These codes serve an important function when it comes to clinical research, too. Researchers and research organizations can use standardized coding systems to analyze disease outcomes or patterns.

Health organizations also use these codes to survey regions or societies, monitoring the spread of diseases or outbreaks. They can then strategize their healthcare delivery systems to keep populations safe and protected. Data from ICD-10 codes can help organizations plan and allocate their healthcare resources effectively as well. 

What ICD-10 Code Is Used for Paranoid Personality Disorder?

The ICD-10 code for Paranoid Personality Disorder is F60.0. The exact numbering is important because F60 is used to classify a variety of behavioral disorders. The only differentiating numeral is the one after the decimal point.

All mental and behavioral disorders are given an “F” classification, and 60 stands for specific mental health disorders. The following mental health disorders fall under the F60 coding system:

  • F60.0 – Paranoid personality disorder
  • F60.1 – Schizoid personality disorder
  • F60.2 – Antisocial personality disorder
  • F60.3 – Borderline personality disorder
  • F60.4 – Histrionic personality disorder
  • F60.5 – Obsessive-compulsive personality disorder
  • F60.6 – Avoidant personality disorder
  • F60.7 – Dependent personality disorder
  • F60.81 – Narcissistic personality disorder
  • F60.89 – Other specific personality disorders
  • F60.9 – Personality disorder, unspecified

Note how just one change in a decimal number results in a different personality disorder and therefore a different treatment plan. 

What Is Paranoid Personality Disorder?

Paranoid personality disorder (PPD) is diagnosed when individuals have a pattern of distrust and suspicion of other people without any reason or logic. They are often paranoid, believing that others are out to threaten or harm them. This usually leads to issues of trust and reluctance to confide in others. 

Healthcare professionals can’t point to any one factor that causes paranoid personality disorder, but most agree that it involves a combination of psychological and biological factors. Some medical professionals suggest that emotional or physical trauma in childhood is the root cause of the disorder. 

People suffering from paranoid personality disorder may have trouble maintaining relationships. Their condition may also interfere with work. The severity of the disorder can range from mild to severe. Some people can function with PPD if their symptoms are mild. Those who exhibit severe symptoms may live in a state of mental disability. 

What Are the Symptoms of Paranoid Personality Disorder?

The symptoms of paranoid personality disorder can vary depending on the severity of the disorder. However, here are some common symptoms that medical professionals use to diagnose the F60.0 disorder.

One of the most common symptoms is an extreme mistrust of other people. Individuals suffering from PPD often think that others are out to harm them in some way. As a result, they are constantly on guard, looking for signs of betrayal. This may lead them to constantly misinterpret looks and remarks from others. 

Their paranoia also makes them reluctant to confide in others. This can be detrimental to relationships as they are unable to open up, trust others, and let others get close to them. 

They tend to interpret innocent actions as demeaning, threatening, or hostile. Kind gestures may be interpreted as having a hidden agenda. This often means they are quick to anger, accusing others of trying to attack them or do them harm. 

In severe cases of PPD, individuals will end up isolating themselves from society, as they are unable to maintain friendships or other close relationships. If they do have personal relationships, they may be cold and distant. They may also have problems relaxing in the company of others.

PPD is a chronic behavioral disorder, and it can be difficult to diagnose. Medical professionals typically give a series of behavioral exams to determine if the disorder falls under the F60.0 category of PPD or if it is an undefined personality disorder (F60.9).

Available Treatment Programs for Paranoid Personality Disorder

There are no medications available to treat paranoid personality disorder. In addition, many individuals suffering from PPD may be reluctant to seek treatment due to their inherent mistrust of others. However, most of the treatment programs available for PPD involve psychotherapy. Here are some ways mental health professionals treat the disorder.

Psychotherapy (Talk Therapy)

Psychotherapy has proven to be one of the more effective treatment methods for PPD. Individual psychotherapy is useful because it provides a safe environment for individuals to express their fears and paranoia. Talk therapy is, of course, a challenge since individuals with PPD may perceive their therapists as a threat. Several versions of talk therapy are available.

One effective approach is cognitive-behavioral therapy (CBT). Therapists using CBT help clients turn their negative thought patterns into positive ways of thinking to change their lives.

Psychodynamic therapy may also help individuals suffering from PPD. Therapists teach clients to rely on their internal locus of control rather than an external one. An internal locus of control refers to a belief that you can control the outcome of situations in your life whereas an external locus of control refers to a belief that your life is predetermined by fate or luck. 

Group Therapy

Individuals who are hesitant to trust a therapist one on one may feel more comfortable in group therapy. This type of therapy is beneficial because it gives those suffering from PPD a chance to interact with a community of people who may share their fears. 


While no medication has been approved to treat PPD, mental health professionals can provide antidepressants for those suffering from depression or antianxiety medicine for those suffering from anxiety. 


In order to make progress with psychotherapy, healthcare professionals must educate people about PPD. Once they understand the disorder, individuals can build coping skills to overcome it. 

Tools to Prevent Relapses

Once therapists start to make progress, they must teach clients suffering from PPD the proper skills to prevent a relapse. This can help them to maintain their progress, learn coping skills, and identify any triggers.

Family Involvement

Individuals with PPD may have pushed their families away. However, a crucial part of treatment can be educating not only the person with the disorder but their family as well. Family members can learn to be more empathetic and therefore more helpful to their loved ones with the disorder. 

The Importance of Having Accurate ICD-10 Medical Codes

So, how do the ICD-10 medical codes help in accurately diagnosing a behavioral and mental disorder? Here are some reasons medical codes are crucial in the healthcare profession.

These codes give mental healthcare providers a standardized way to track, document, and upgrade a client’s condition. By accurately categorizing the disorder, individuals with PPD can then receive effective care. People who have been diagnosed with F60.0 (PPD) versus F60.9 (unspecified personality disorder) or F60.89 (other specific personality disorders) will receive very different care, for example. 

Using the F60.0 code as a guideline, mental health providers can also customize a treatment plan. Once they accurately assign a code to a client’s medical history, the severity of the disorder, and any co-occurring disorders, they can have a more comprehensive view of the individual’s health. 

The F60.0 code also allows medical professionals to communicate with each other in a consistent and standardized way. Mental healthcare professionals can use this code to tap into the latest research and updates on the disorder worldwide. Medical professionals can also track the disorder in other regions or countries, locating any patterns or statistics. The code can also be a starting point to identify areas of PPD healthcare that need to be improved, the suicide rate of those with the disorder, and where to allocate resources. 

Continuity of care is important, too. If a client should move from one hospital setting to another, the F60.0 code can ensure that he or she will receive consistent care after the transition. Healthcare professionals must also abide by legal and ethical rules. The codes help to ensure that the same ethical standards are followed worldwide.

Finally, there are billing and insurance considerations. Insurance companies must know what code has been assigned to an individual for the proper reimbursement to take place. Incorrect coding may result in claim denials. 

How AutoNotes Can Help

If you’re a mental healthcare professional, you can track the progress of your clients using our AI progress notes, called AutoNotes. We offer an easy-to-use tool that can generate SOAP notes, DAP notes, treatment plans, and more. We store all your data in our HIPAA-compliant Google Cloud Platform, where it is secure and protected by Cloudflare. 

To get started, use our templates. We offer Individual Progress Notes and Group Note templates so that you can easily track and update your clients’ sessions. Simply summarize your session using either text or our dictation feature. Include the strategies you used, your goals, and your objectives. We offer a variety of note formats, such as SOAP, DAP, BIRP, and GIRP. AutoNotes also lets you include a Mental Status Exam (MSE). After you have entered all the session updates, you can save your notes as a PDF file.

With AutoNotes, we help you streamline the clinical documentation process so you can focus on client care. We offer a 24-hour free trial. Get started with AutoNotes, and see how much we can simplify your note-taking sessions.