Paraphrenia

This code represents a chronic psychotic disorder characterized by prominent delusions, often persecutory or grandiose, and hallucinations, typically auditory, without significant intellectual deterioration or the widespread personality disorganization seen in classic schizophrenia. Individuals with this condition generally maintain a relatively intact affect and organized thought processes outside of their delusional system.

Use this code for patients diagnosed with a late-onset delusional disorder where the primary features are well-systematized delusions and hallucinations, but without the pervasive thought disorder, emotional blunting, or severe social withdrawal typical of schizophrenia. Documentation should clearly specify the presence of persistent, non-bizarre delusions and hallucinations in an otherwise relatively preserved personality.

• Differentiate from schizophrenia (295.xx) which involves more pervasive thought disorder and personality disintegration.
• Ensure documentation specifies the absence of significant intellectual decline or widespread personality disorganization.
• Consider other delusional disorders (297.1) if the delusions are non-bizarre and the primary feature without prominent hallucinations.