2026 ICD-10-CM Diagnosis Code F60.81Narcissistic personality disorder

ICD-10-CM Codes›F01–F99›F60-F69›F60

ICD-10-CM F60.81
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

F60.81 is a billable ICD-10-CM diagnosis code for narcissistic personality disorder. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). Coders also document this condition as cluster B personality disorder. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Personality disorders.

Code Identity

ICD-10-CM Code
F60.81
Billable Status
Yes — Valid for Submission
Code Describes
Narcissistic personality disorder
Short Description
Narcissistic personality disorder
Same as the full description in the CMS dataset.
Parent Code
F60.8
Other specific personality disorders

Code Classification

ChapterF01–F99Mental and behavioural disorders
SectionF60-F69Disorders of adult personality and behavior
CategoryF60Specific personality disorders
This CodeF60.81Narcissistic personality disorder

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Cluster B personality disorder
  • Narcissistic character
  • Narcissistic personality disorder

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Disorder(of)
      • personality
        • narcissistic
    • Personality(disorder)
      • narcissistic

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR MBD009
Personality disorders
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Narcissistic Personality Disorder

    a pattern of grandiosity, need for admiration, and lack of empathy. (ncbi.nlm.nih.gov/books/nbk556001/)

  • Narcissistic Personality Disorder

    a disorder characterized by an enduring pattern of grandiose beliefs and arrogant behavior together with an overwhelming need for admiration and a lack of empathy for (and even exploitation of) others.

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 F60.81 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
301.81 Narcissistic personality
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About F60.81Overview

Is F60.81 (Other specific personality disorders) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report narcissistic personality disorder on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What is the ICD-9 equivalent of F60.81?

Under the General Equivalence Mappings, narcissistic personality disorder converts to ICD-9-CM 301.81 (narcissistic personality). The mapping is a direct match.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.