ICD-10 Guide

Antisocial Personality Disorder

ICD-10 Coding for Antisocial Personality Disorder(F60.2)

PRIMARY SPECIALTYPsychiatry

COMPLEXITYHigh

LAST UPDATED09/15/2025

Sam Tuffun, PT, DPT

Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Antisocial Personality Disorder?

Essential facts and insights about Antisocial Personality Disorder

Key Clinical Considerations:

A pervasive pattern of disregard for and violation of the rights of others, occurring since age 15 years, as indicated by three (or more) of the following: failure to conform to social norms, deceitfulness, impulsivity, irritability and aggressiveness, reckless disregard for safety of self or others, consistent irresponsibility, lack of remorse.
No specific laboratory findings or diagnostic test results are required for diagnosis; however, psychological assessments may be utilized.
Physical examination findings may be unremarkable; however, a thorough mental status examination is essential.
Imaging or procedural findings are not typically applicable for this diagnosis.
Severity criteria may include the degree of functional impairment in social, occupational, or other important areas of functioning.

Clinical Information

Clinical Criteria & Documentation Requirements

Documentation must include a comprehensive psychiatric evaluation, including history of present illness, past psychiatric history, and psychosocial history.
Specific terminology such as 'antisocial behavior', 'conduct disorder' (if applicable), and 'personality disorder' must be documented.
Examples include: 'Patient exhibits a pattern of deceitfulness and impulsivity consistent with Antisocial Personality Disorder.'
Medical necessity documentation should justify the need for psychiatric evaluation and treatment.
Quality measures may include documentation of risk assessments and treatment plans.

Coding Guidelines

Usage Guidelines & Examples

Use this diagnosis code when the patient meets the criteria for Antisocial Personality Disorder and exhibits the required symptoms.
Do not use this code for patients with other personality disorders or conditions that do not meet the criteria.
Similar codes include F60.1 (Dissocial Personality Disorder) and F60.3 (Borderline Personality Disorder), which have distinct criteria.
Common coding errors include misdiagnosing or failing to document the required number of symptoms; ensure all criteria are met.
In complex cases, consider comorbid conditions and document all relevant diagnoses to support coding.

Code Exclusions

Important Exclusions

Conditions explicitly excluded include F60.0 (Paranoid Personality Disorder) and F60.3 (Borderline Personality Disorder).
Alternative codes for excluded conditions should be used based on the specific diagnosis.
Conditions are excluded to ensure accurate diagnosis and treatment planning.
Common exclusion mistakes include misidentifying symptoms of other personality disorders as antisocial behavior.
Related but distinct conditions include Conduct Disorder and Narcissistic Personality Disorder.

Specialty Focus

Primary Specialty

Psychiatry

Specialty Applications

This diagnosis applies to individuals exhibiting antisocial behaviors and personality traits.
Patient populations include adults, typically diagnosed in late adolescence or early adulthood, with a higher prevalence in males.
Clinical settings include outpatient psychiatric clinics, inpatient psychiatric units, and emergency departments.
Specialty-specific applications are primarily in psychiatry and psychology.
Treatment contexts include psychotherapy, medication management, and rehabilitation programs.

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

Comprehensive clinical documentation
Accurate code selection based on clinical criteria
Proper exclusion considerations
Specialty-specific coding guidelines

Documentation

Documentation Templates

Template 1

Template: 'Patient diagnosed with Antisocial Personality Disorder based on clinical findings of impulsivity and deceitfulness.'

Template 2

Template: 'Clinical presentation consistent with Antisocial Personality Disorder including a pattern of disregard for others.'

Template 3

Template: 'Diagnostic criteria for Antisocial Personality Disorder met as evidenced by a history of conduct disorder and current symptoms.'

Template 4

Template: 'Treatment plan initiated for Antisocial Personality Disorder with cognitive behavioral therapy and medication management.'

Template 5

Template: 'Follow-up care for Antisocial Personality Disorder including monitoring of behavioral changes and treatment adherence.'

Billing Information

Billing Considerations

Ensure proper documentation for billing
Verify code specificity requirements
Check for any additional codes needed
Review payer-specific guidelines

Common Issues

Insufficient clinical documentation
Incorrect code selection
Missing supporting diagnoses
Timing and frequency documentation

Frequently Asked Questions

What documentation is required for this diagnosis?

A comprehensive psychiatric evaluation, including history, symptoms, and functional impairment.

How does this differ from similar diagnoses?

Antisocial Personality Disorder is characterized by a pervasive pattern of disregard for others, unlike Borderline Personality Disorder, which involves instability in relationships and self-image.

What are common billing considerations?

Ensure that the diagnosis is well-documented and supported by the treatment provided to optimize reimbursement.

What procedures are typically associated?

Commonly associated procedures may include psychotherapy sessions and psychiatric evaluations.

Are there any quality reporting implications?

Quality measures may include tracking treatment outcomes and adherence to treatment plans.

What is Antisocial Personality Disorder?

Essential facts and insights about Antisocial Personality Disorder

Key Clinical Considerations:

A pervasive pattern of disregard for and violation of the rights of others, occurring since age 15 years, as indicated by three (or more) of the following: failure to conform to social norms, deceitfulness, impulsivity, irritability and aggressiveness, reckless disregard for safety of self or others, consistent irresponsibility, lack of remorse.
No specific laboratory findings or diagnostic test results are required for diagnosis; however, psychological assessments may be utilized.
Physical examination findings may be unremarkable; however, a thorough mental status examination is essential.
Imaging or procedural findings are not typically applicable for this diagnosis.
Severity criteria may include the degree of functional impairment in social, occupational, or other important areas of functioning.

Antisocial Personality Disorder

Diagnosis Overview

Key Clinical Considerations:

Clinical Information

Clinical Criteria & Documentation Requirements

Coding Guidelines

Usage Guidelines & Examples

Code Exclusions

Important Exclusions

Related ICD-10 Codes

Related CPT Codes

Specialty Focus

Primary Specialty

Specialty Applications

Coding Complexity

Documentation

Documentation Templates

Template 1

Template 2

Template 3

Template 4

Template 5

Billing Information

Billing Considerations

Common Issues

Frequently Asked Questions

What documentation is required for this diagnosis?

How does this differ from similar diagnoses?

What are common billing considerations?

What procedures are typically associated?

Are there any quality reporting implications?

Antisocial Personality Disorder

Diagnosis Overview

Key Clinical Considerations:

Clinical Information

Clinical Criteria & Documentation Requirements

Coding Guidelines

Usage Guidelines & Examples

Code Exclusions

Important Exclusions

Related ICD-10 Codes

Related CPT Codes

Specialty Focus

Primary Specialty

Specialty Applications

Coding Complexity

Documentation

Documentation Templates

Template 1

Template 2

Template 3

Template 4

Template 5

Billing Information

Billing Considerations

Common Issues

Frequently Asked Questions

What documentation is required for this diagnosis?

How does this differ from similar diagnoses?

What are common billing considerations?

What procedures are typically associated?

Are there any quality reporting implications?