ICD-10-CM Codes > F20-F29 > F25

Schizoaffective disorders
2025 ICD-10-CM DIAGNOSIS CODE F25

Code Attributes

  • Non-Billable/Non-Specific Code


Clinical Information

  • A disorder in which the individual suffers from both symptoms that qualify as schizophrenia and symptoms that qualify as a mood disorder (e.g., depression or bipolar disorder) for a substantial portion (but not all) of the active period of the illness; for the remainder of the active period of the illness, the individual suffers from delusions or hallucinations in the absence of prominent mood symptoms.
  • Mental disorder characterized by the presence of both affective disorder and schizophrenia-like symptoms.


Type 1 Excludes:

  • Mood [affective] disorders with psychotic symptoms (F30.2, F31.2, F31.5, F31.64, F32.3, F33.3)
  • Schizophrenia (F20.-)

Codes


  • F25.0 Schizoaffective disorder, bipolar type
  • F25.1 Schizoaffective disorder, depressive type
  • F25.8 Other schizoaffective disorders
  • F25.9 Schizoaffective disorder, unspecified

ICD-10 Code F25 is designated for schizoaffective disorders. This classification is a part of the broader ICD-10 (International Classification of Diseases, 10th Revision) system used globally for diagnostic purposes, including within mental health practices. Schizoaffective disorders are characterized by symptoms that are a mix of schizophrenia (such as hallucinations or delusions) and mood disorder symptoms (such as mania or depression).


There are a number of reasons understanding and applying ICD-10 codes, like F25, correctly is important:


1. Accurate diagnosis and treatment planning 

Properly identifying and coding the diagnosis ensures that you are creating an appropriate treatment plan for your clients. It also facilitates communication with other healthcare professionals by providing a standardized diagnostic code.


2. Billing and insurance claims 

ICD-10 codes, including F25, are essential for billing purposes. Insurance companies require these codes on claims forms to process reimbursements. Accurate coding helps avoid claim rejections or delays due to coding errors. When you prepare a claim or invoice, you'll need to include the ICD-10 code that matches the diagnosis of the client. Ensuring accuracy here is vital for seamless processing and payment.


3. Reporting and compliance 

Using the correct ICD-10 codes helps meet regulatory and payer requirements. It ensures compliance with healthcare reporting standards, which is critical for practice management and audit purposes.


4. Creating claims

When you're ready to submit an insurance claim, you may need to input the correct diagnosis code. Make sure to enter F25 for clients with schizoaffective disorders. 


5. Documentation and note-taking

While documenting sessions or treatment plans, reference the ICD-10 code F25 as part of your notes when relevant. This practice supports clinical decision-making and provides a clear audit trail for diagnosis and treatment.


6. Staying informed

The ICD-10 codes are subject to updates. Staying on top of any changes or revisions to mental health-related codes is important for maintaining compliance and accuracy in your billing and documentation.


Sources


  • "Schizoaffective disorder (Concept Id: C0036337) - MedGen - NCBI". National Library of Medicine - National Center For Biotechnology Information. National Institute Of Health, n.d., https://www.ncbi.nlm.nih.gov/medgen/C0036337. Accessed 27 Jan 2025.
  • "Schizoaffective Disorder Diagnosis And Treatment | J.Flowers". J. Flowers Health Institute. J. Flowers Health Institute, n.d., https://jflowershealth.com/schizoaffective-disorder-diagnosis/. Accessed 27 Jan 2025.
  • "ICD-10 Code for Schizoaffective disorders- F25- Codify by AAPC". Codify By AAPC. American Academy of Professional Coders, n.d., https://www.aapc.com/codes/icd-10-codes/F25. Accessed 27 Jan 2025.

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