ICD-10 Coding for Borderline Personality Disorder(F60.3)
Complete ICD-10-CM coding and documentation guide for Borderline Personality Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Borderline Personality Disorder
F60-F69Primary Range
Disorders of adult personality and behavior
This range includes personality disorders, with F60.3 specifically for Borderline Personality Disorder.
Key Information: ICD-10 code for Borderline Personality Disorder
Essential facts and insights about Borderline Personality Disorder
Primary ICD-10-CM Code for borderline personality disorder
Decision Criteria
clinical Criteria
- Patient exhibits ≥5 DSM-5 criteria for BPD.
coding Criteria
- Avoid using F60.3 if only traits are documented.
Applicable To
- Emotionally Unstable Personality Disorder, Borderline Type
Clinical Validation Requirements
- Documentation of ≥5 of 9 DSM-5 criteria for BPD
- Evidence of emotional instability, impulsivity, and unstable relationships
Code-Specific Risks
- Misclassification if only traits are documented
- Incorrect use when symptoms align more closely with another disorder
Coding Notes
- Ensure documentation supports the full criteria for BPD to avoid misclassification.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Borderline Personality Disorder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F60.3.
Impact
Clinical: Inaccurate diagnosis leading to inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential reimbursement issues.
Mitigation Strategy
Use checklists for DSM-5 criteria., Regular training on documentation standards.
Impact
Reimbursement: Potential underpayment due to incorrect coding., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Query: 'Clarify if traits meet full BPD criteria per DSM-5'
Impact
Risk of audits due to insufficient documentation of BPD criteria.
Mitigation Strategy
Ensure thorough documentation of DSM-5 criteria and comorbid conditions.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Borderline Personality Disorder, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Borderline Personality Disorder
Use these documentation templates to ensure complete and accurate documentation for Borderline Personality Disorder. These templates include all required elements for proper coding and billing.
Inpatient admission for BPD crisis
Specialty: PsychiatryRequired Elements
- Patient history
- DSM-5 criteria met
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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