ICD-10 Coding for Personality Disorder(F60.3, F60.0)
Complete ICD-10-CM coding and documentation guide for Personality Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Personality Disorder
F60-F69Primary Range
Disorders of adult personality and behavior
This range includes all personality disorders, which are characterized by enduring patterns of behavior and inner experiences that deviate markedly from the expectations of the individual's culture.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F60.3 | Borderline personality disorder | Use when patient exhibits chronic emotional instability and self-harm behaviors. |
|
| F60.0 | Paranoid personality disorder | Use when patient shows pervasive distrust and suspicion of others. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for borderline personality disorder
Essential facts and insights about Personality Disorder
Primary ICD-10-CM Codes for personality disorder
Decision Criteria
clinical Criteria
- Presence of ≥5 DSM-5 criteria for borderline personality disorder.
Applicable To
- Emotional instability
- Self-harm gestures
Excludes
- Mood disorders
- Anxiety disorders
Clinical Validation Requirements
- Chronic pattern of emotional instability
- Self-harm gestures
- Intense fear of abandonment
Code-Specific Risks
- Misdiagnosis with mood disorders
- Inadequate documentation of symptoms
Coding Notes
- Ensure documentation includes specific symptoms and duration to support diagnosis.
F60.0 - Paranoid personality disorder
Use when patient shows pervasive distrust and suspicion of others.
Applicable To
- Persistent suspiciousness
Excludes
- Schizophrenia
- Delusional disorder
Clinical Validation Requirements
- Persistent suspiciousness without evidence
- Refusal to collaborate
Coding Notes
Document specific paranoid behaviors and their impact on daily functioning.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Accentuated personality traits
Z73.1Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting 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: May lead to misdiagnosis or inappropriate treatment., Regulatory: Increases risk of audit and non-compliance., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Use specific language and criteria from DSM-5., Regular training on documentation standards.
Impact
Reimbursement: May result in lower reimbursement rates., Compliance: Could lead to audit flags due to lack of specificity., Data Quality: Reduces the accuracy of health data records.
Mitigation Strategy
Always use the most specific code available, such as F60.3 for borderline personality disorder.
Impact
High risk of audit when unspecified codes are used without justification.
Mitigation Strategy
Ensure documentation supports the use of specific codes.
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 Personality Disorder, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Personality Disorder
Use these documentation templates to ensure complete and accurate documentation for Personality Disorder. These templates include all required elements for proper coding and billing.
Documenting borderline personality disorder
Specialty: PsychiatryRequired Elements
- Subjective: Patient's report of symptoms
- Objective: Observations during examination
- Assessment: Diagnosis with severity
- Plan: Treatment and follow-up
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Personality Disorder? Ask your questions below.