Specific personality disorders (F60)

The F60 section of ICD-10-CM codes covers specific personality disorders, which describe enduring patterns of behavior and inner experiences that deviate from cultural expectations. These codes are essential for diagnosing recognized personality disorders like paranoid, antisocial, borderline, and others.

This ICD-10 code group includes various well-defined conditions such as F60.0 Paranoid personality disorder, also known as "paranoid character" or "Cluster A personality disorder," and F60.2 Antisocial personality disorder, synonymous with "dissocial character" or "adult dyssocial behavior." Other key codes include F60.3 Borderline personality disorder (also called "emotionally unstable personality disorder") and F60.5 Obsessive-compulsive personality disorder, known by terms like "compulsive personality disorder." For coders, understanding these synonyms supports accurate code selection for conditions such as narcissistic personality disorder (F60.81) and avoidant personality disorder (F60.6), which has the synonym "anxious personality disorder." The section also includes less common or unspecified personality disorders under codes like F60.8 and F60.9. These ICD-10 codes help distinguish specific patterns of personality dysfunction, aiding clinical assessment and documentation.

Clinical Terms

The following clinical terms provide additional context, helping users better understand the clinical background and common associations for each diagnosis listed in this section. Including related terms alongside ICD-10-CM codes supports coders, billers, and healthcare professionals in improving accuracy, enhancing documentation, and facilitating research or patient education.

Antisocial Personality Disorder

A personality disorder whose essential feature is a pervasive pattern of disregard for, and violation of, the rights of others that begins in childhood or early adolescence and continues into adulthood. The individual must be at least age 18 and must have a history of some symptoms of CONDUCT DISORDER before age 15. (From DSM-IV, 1994).

Borderline Personality Disorder

A personality disorder marked by a pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity beginning by early adulthood and present in a variety of contexts. (DSM-IV)

Compulsive Personality Disorder

Disorder characterized by an emotionally constricted manner that is unduly conventional, serious, formal, and stingy, by preoccupation with trivial details, rules, order, organization, schedules, and lists, by stubborn insistence on having things one's own way without regard for the effects on others, by poor interpersonal relationships, and by indecisiveness due to fear of making mistakes.

Dependent Personality Disorder

A personality disorder characterized by a pervasive and excessive need to be taken care of that leads to submissive and clinging behavior and fears of separation, beginning by early adulthood and present in a variety of contexts. (From DSM-IV, 1994)

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.

Narcissistic Personality Disorder

A pattern of grandiosity, need for admiration, and lack of empathy. (ncbi.nlm.nih.gov/books/NBK556001/)

Paranoid Personality Disorder

A personality disorder characterized by the avoidance of accepting deserved blame and an unwarranted view of others as malevolent. The latter is expressed as suspiciousness, hypersensitivity, and mistrust.

Schizoid Personality Disorder

A personality disorder manifested by a profound defect in the ability to form social relationships, no desire for social involvement, and an indifference to praise or criticism.