F60-F69
Medium Complexity

Disorders of adult personality and behavior

Primary Specialty: Psychiatry
Last Updated: 2025-09-09

ICD-10 Codes (38)

38 billable
0 category headers
F63
Billable
Impulse disorders
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F63.0
Billable
Pathological gambling
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F63.1
Billable
Pyromania
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F63.2
Billable
Kleptomania
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F63.3
Billable
Trichotillomania
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F63.8
Billable
Other impulse disorders
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F63.81
Billable
Intermittent explosive disorder
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F63.89
Billable
Other impulse disorders
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F63.9
Billable
Impulse disorder, unspecified
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F64
Billable
Gender identity disorders
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F64.0
Billable
Transsexualism
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F64.1
Billable
Dual role transvestism
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F64.2
Billable
Gender identity disorder of childhood
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F64.8
Billable
Other gender identity disorders
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F64.9
Billable
Gender identity disorder, unspecified
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F65
Billable
Paraphilias
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F65.0
Billable
Fetishism
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F65.1
Billable
Transvestic fetishism
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F65.2
Billable
Exhibitionism
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F65.3
Billable
Voyeurism
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F65.4
Billable
Pedophilia
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F65.5
Billable
Sadomasochism
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F65.50
Billable
Sadomasochism, unspecified
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F65.51
Billable
Sexual masochism
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F65.52
Billable
Sexual sadism
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F65.8
Billable
Other paraphilias
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F65.81
Billable
Frotteurism
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F65.89
Billable
Other paraphilias
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F65.9
Billable
Paraphilia, unspecified
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F66
Billable
Other sexual disorders
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F68
Billable
Other disorders of adult personality and behavior
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F68.1
Billable
Factitious disorder imposed on self
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F68.10
Billable
Factitious disorder imposed on self, unspecified
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F68.11
Billable
Factitious disorder imposed on self, with predominantly psychological signs and symptoms
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F68.12
Billable
Factitious disorder imposed on self, with predominantly physical signs and symptoms
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F68.13
Billable
Factitious disorder imposed on self, with combined psychological and physical signs and symptoms
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F68.8
Billable
Other specified disorders of adult personality and behavior
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F69
Billable
Unspecified disorder of adult personality and behavior
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Updates & Changes

FY 2026 Updates

Current Year

New Codes (2)

F10.288
Alcohol use disorder with other alcohol-induced disorder, severe
F11.288
Opioid use disorder with other opioid-induced disorder, severe

Revised Codes (2)

F11.10
Opioid abuse, uncomplicated - updated to align with DSM-5-TR criteria
F12.10
Cannabis abuse, uncomplicated - updated terminology and criteria

Deleted Codes

No codes deleted in this range for FY 2026

Historical Changes

  • FY 2025: Routine maintenance updates with minor terminology clarifications
  • FY 2024: Enhanced specificity requirements for certain code ranges
  • FY 2023: Updated documentation guidelines for improved clarity

Upcoming Changes

  • Proposed updates pending review by Coordination and Maintenance Committee
  • Under consideration: Enhanced digital health integration codes

Implementation Guidance

  • Review all FY 2026 updates for F60-F69 codes before implementation
  • Always verify the most current codes in the ICD-10-CM manual
  • Ensure clinical documentation supports the selected diagnosis codes
  • +3 more guidance items...

Range Overview

high priority

The ICD-10 category F60-F69, Disorders of adult personality and behavior, encompasses a range of mental health disorders that are typically chronic and affect the way individuals perceive, relate to and think about themselves and their environment. These codes are used to classify conditions such as specific personality disorders, gender identity disorders, habit and impulse disorders, and other specified disorders of adult personality and behavior.

Key Usage Points:

  • F60-F69 codes are used for patients with chronic mental health conditions that affect their personality and behavior.
  • These codes are not used for temporary mental health conditions or those caused by substance abuse.
  • The specific type of disorder must be documented for accurate coding.
  • Complications or comorbid conditions should be coded separately.
  • Always check for updates to the ICD-10 guidelines for these codes.

Coding Guidelines

When to Use:

  • When a patient has a diagnosed personality disorder.
  • When a patient has a diagnosed gender identity disorder.
  • When a patient has a diagnosed habit and impulse disorder.
  • When a patient has a diagnosed other specified disorder of adult personality and behavior.

When NOT to Use:

  • When a patient has a temporary mental health condition.
  • When a patient's mental health condition is caused by substance abuse.
  • When a patient has a mental health condition not covered by F60-F69.
  • When a patient's mental health condition is undiagnosed.

Code Exclusions

Always verify exclusions before coding to ensure accuracy.

Documentation Requirements

Documentation for F60-F69 should include the specific type of disorder, any complications or comorbid conditions, and the patient's progress and response to treatment. Documentation should be clear, concise, and specific.

Clinical Information:

  • Specific type of disorder
  • Complications or comorbid conditions
  • Patient's progress and response to treatment
  • Any changes in patient's condition or treatment plan

Supporting Evidence:

  • Clinical notes
  • Psychiatric evaluations
  • Treatment plans
  • Progress notes
Good Documentation Example:

Patient diagnosed with borderline personality disorder. Patient is responding well to cognitive behavioral therapy. No changes in treatment plan.

Poor Documentation Example:

Patient has a personality disorder.

Common Documentation Errors:

  • Not specifying the type of disorder
  • Not documenting complications or comorbid conditions
  • Not documenting the patient's progress and response to treatment
  • Not documenting changes in the patient's condition or treatment plan

Range Statistics

6
Total Codes
38
Billable
Complexity:
Medium
Primary Use:Clinical Documentation
Chapter:5

Coding Complexity

Medium
Complexity Rating

The complexity of F60-F69 codes is considered medium because while the codes themselves are straightforward, they require specific documentation and can be affected by complications, comorbid conditions, changes in the patient's condition or treatment plan, and updates to the ICD-10 guidelines.

Key Factors:
  • Specificity of the disorder
  • Presence of complications or comorbid conditions
  • Changes in patient's condition or treatment plan
  • Updates to the ICD-10 guidelines

Specialty Focus

F60-F69 codes are primarily used by psychiatrists and other mental health professionals. They are also used by primary care providers when managing patients with chronic mental health conditions.

Primary Specialties:
Psychiatry
60%
Primary Care
30%
Clinical Scenarios:
  • A patient diagnosed with borderline personality disorder.
  • A patient diagnosed with gender identity disorder.
  • A patient diagnosed with a habit and impulse disorder.
  • A patient diagnosed with another specified disorder of adult personality and behavior.

Resources & References

Resources for F60-F69 include the ICD-10 official guidelines, clinical reference sources, and educational materials. Always use the most current and reliable resources when coding.

Official Guidelines:

  • ICD-10-CM Official Guidelines for Coding and Reporting
  • American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
  • World Health Organization's International Classification of Diseases (ICD)

Clinical References:

  • American Psychiatric Association
  • National Institute of Mental Health

Educational Materials:

  • American Health Information Management Association (AHIMA)
  • American Academy of Professional Coders (AAPC)

Frequently Asked Questions

Can F60-F69 codes be used for temporary mental health conditions?

No, F60-F69 codes are used for chronic mental health conditions that affect the patient's personality and behavior. Temporary mental health conditions should be coded with F40-F48.