2027 ICD-10-CM Diagnosis Code F60.4Histrionic personality disorder
ICD-10-CM Codes›F01–F99›F60-F69›F60
- Billable — Valid for Submission
- Risk Adjusts — HCC 153
- Chronic Condition
F60.4 is a billable ICD-10-CM diagnosis code for histrionic personality disorder. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 883. Coders also document this condition as cluster B personality disorder. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Personality disorders.
For Medicare Advantage risk adjustment, F60.4 maps to CMS-HCC Category 153 (Personality Disorders; Anorexia/Bulimia Nervosa) under the V28 model, adding a risk factor of about 0.396 for a community, non-dual, aged beneficiary in payment year 2027.
Code Identity
Code Classification
Medicare Risk Adjustment (HCC)Billing
F60.4 maps to a payment category in the CMS-HCC model used to risk-adjust Medicare Advantage payments. Weights are the published community factors for payment year 2027.
Source: CMS Payment Year 2027 risk adjustment mappings and model software. Weights are relative factors, not dollar amounts; a beneficiary's total RAF also includes demographics and interactions. Browse all CMS-HCC categories.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Cluster B personality disorder
- Histrionic personality disorder
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to F60.4: its own notes plus those printed at Chapter 5. A note printed at a category, block or chapter applies to every code under it.
Includes
Further defines, or gives examples of, the content of the category.
- disorders of psychological development
Applicable To
Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.
- Hysterical personality (disorder)
- Psychoinfantile personality (disorder)
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name F60.4, its category, or a range that includes it.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Disorder (of) See Also: Disease;
personality See Also: Personality; F60.9
histrionic F60.4
hysterical F60.4
histrionic F60.4
hysterical F60.4
psychoinfantile F60.4
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Histrionic Personality Disorder
a personality disorder characterized by overly reactive and intensely expressed or overly dramatic behavior, proneness to exaggeration, emotional excitability, and disturbances in interpersonal relationships.
Patient EducationClinical
Personality Disorders
Your personality is your own way of thinking, feeling, behaving, and relating to others. Once you become an adult, your personality usually doesn't change much.
The full article covers:
- What is personality?
- What are personality disorders?
- What are the types of personality disorders?
- What causes personality disorders?
- What are the symptoms of personality disorders?
- How are personality disorders diagnosed?
- How are personality disorders treated?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert F60.4 to ICD-9-CMHistory
Code HistoryHistory
Questions About F60.4Overview
What is the ICD-10 code for histrionic personality disorder?
The ICD-10-CM code for histrionic personality disorder is F60.4 (sometimes written as F604). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is F60.4 (Specific personality disorders) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report histrionic personality disorder on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does F60.4 group to?
When histrionic personality disorder is the principal diagnosis on an inpatient stay, it groups to MS-DRG 883 (disorders of Personality and Impulse Control), which carries a relative weight of 1.7398. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of F60.4?
Under the General Equivalence Mappings, histrionic personality disorder converts to ICD-9-CM 301.50 (histrionic person NOS) and 301.59 (histrionic person NEC). The mapping is approximate, so confirm the match fits the documentation.
What HCC is F60.4?
F60.4 (histrionic personality disorder) maps to CMS-HCC Category 153 (Personality Disorders; Anorexia/Bulimia Nervosa), commonly written as HCC 153, in the CMS-HCC V28 model used for Medicare Advantage risk adjustment in payment year 2027. It mapped to HCC 60 under the retired V24 model. It also maps in the ESRD (V24) model. In the Part D prescription drug model it maps to RxHCC 133.
Does F60.4 risk-adjust for Medicare Advantage payment?
Yes. When documented and reported on a Medicare Advantage encounter, F60.4 adds a risk adjustment factor of about 0.396 to the beneficiary's RAF score for a community, non-dual, aged enrollee (published V28 weights range from 0.199 to 0.464 depending on the payment segment). A more severe related category (HCC 151 and HCC 152) supersedes it when both are reported. See the full factor table on the HCC 153 category page.
