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v1.0.0
ICD-10 Guide
DiagnosesBorderline Personality Disorder

Borderline Personality Disorder

ICD-10 Coding for Borderline Personality Disorder(F60.3)

PRIMARY SPECIALTYPsychiatry
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Borderline Personality Disorder?
Essential facts and insights about Borderline Personality Disorder

Key Clinical Considerations:

  • Emotional instability, intense interpersonal relationships, identity disturbance, impulsivity, self-harm behaviors, chronic feelings of emptiness, inappropriate anger, and transient stress-related paranoia.
  • Structured clinical interviews (e.g., SCID-5), self-report questionnaires (e.g., BPD scale), and psychological assessments.
  • Mood swings, affective instability, and signs of self-injurious behavior during the physical exam.

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history, symptom duration, impact on functioning, and any co-occurring disorders.
  • ICD-10-CM code F60.3 for Borderline Personality Disorder.
  • Examples include detailed descriptions of emotional dysregulation and interpersonal conflicts.

Coding Guidelines

Usage Guidelines & Examples

  • Follow guidelines for distinguishing BPD from other personality disorders.
  • Common errors include misdiagnosing BPD as mood disorders.

Code Exclusions

Important Exclusions

  • Avoidant Personality Disorder, Narcissistic Personality Disorder, and other specified personality disorders.
  • Alternative codes include F60.2 (Emotionally Unstable Personality Disorder).

Related ICD-10 Codes

Primary Codes
F60.3
Borderline Personality Disorder
Ancillary Codes
F32.9
R45.851
Differential Codes
F31.xx
F43.10

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Psychiatry

Specialty Applications

  • Adults and adolescents with emotional dysregulation.
  • Psychiatric clinics, outpatient therapy settings, and inpatient facilities.

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

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 are the documentation requirements?

Document specific symptoms, their duration, and impact on daily functioning.

What are the billing considerations?

Ensure accurate coding and documentation to support medical necessity for therapy and psychiatric services.