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v1.0.0
ICD-10 Guide
DiagnosesAuditory Hallucination

Auditory Hallucination

ICD-10 Coding for Auditory Hallucinations(R44.0, F20.0)

PRIMARY SPECIALTYPsychiatry
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Auditory Hallucination?
Essential facts and insights about Auditory Hallucinations

Key Clinical Considerations:

  • Presence of auditory hallucinations, such as hearing voices or sounds that are not present.
  • Psychiatric evaluation indicating the duration and impact on daily functioning.
  • No evidence of substance use or medical conditions that could explain the symptoms.

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history including onset, frequency, and nature of hallucinations.
  • Use of specific terms like 'auditory hallucination' in clinical notes.
  • Examples include detailed descriptions of hallucinations and their effects on behavior.

Coding Guidelines

Usage Guidelines & Examples

  • Usage guidelines emphasize the importance of specifying the type of hallucination.
  • Common errors include misclassifying hallucinations as delusions or failing to document the impact on daily life.

Code Exclusions

Important Exclusions

  • Excluded conditions include substance-induced psychotic disorder and medical conditions causing hallucinations.
  • Alternative codes may include those for mood disorders with psychotic features.

Related ICD-10 Codes

Primary Codes
F23.1
Acute psychotic disorder with hallucinations
F20.0
Paranoid schizophrenia with auditory hallucinations
Ancillary Codes
90785
Differential Codes
H93.1-
R44.0

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Psychiatry

Specialty Applications

  • Patient populations include those with schizophrenia, bipolar disorder, and severe depression.
  • Clinical settings include outpatient psychiatric clinics, inpatient psychiatric units, and emergency departments.

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

Documentation requirements?

Document the patient's symptoms, duration, and impact on functioning.

Billing considerations?

Ensure accurate coding to reflect the severity and type of hallucinations for reimbursement.