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ICD-10 Guide
ICD-10 CodesF60.8

F60.8

Billable

Other specific personality disorders

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 F60.8 is a billable code used to indicate a diagnosis of other specific personality disorders.

Key Diagnostic Point:

F60.8 encompasses a range of personality disorders that do not fit neatly into the defined categories of personality disorders outlined in the ICD-10. These disorders are characterized by enduring patterns of behavior, cognition, and inner experience that deviate markedly from cultural expectations. Individuals with these disorders often exhibit maladaptive behaviors that can lead to significant distress or impairment in social, occupational, or other important areas of functioning. Examples may include atypical presentations of personality disorders such as passive-aggressive personality disorder or self-defeating personality disorder. The symptoms can manifest in various ways, including difficulties in interpersonal relationships, emotional regulation, and impulse control. The diagnosis requires a thorough clinical assessment, including a detailed history and consideration of the individual's cultural context, as these factors can influence the expression of personality traits. Treatment often involves psychotherapy, with a focus on developing coping strategies and improving interpersonal skills.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in symptom presentation among patients
  • Overlap with other mental health disorders
  • Need for comprehensive clinical documentation
  • Potential for misdiagnosis due to cultural factors

Audit Risk Factors

  • Inadequate documentation of symptoms
  • Failure to specify the exact nature of the disorder
  • Lack of evidence for the impact on functioning
  • Misalignment between diagnosis and treatment provided

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed patient history, symptom assessment, and treatment plan.

Common Clinical Scenarios

Diagnosis of atypical personality disorders, management of co-occurring mental health conditions.

Billing Considerations

Consider cultural context and individual patient history when documenting symptoms.

Psychology

Documentation Requirements

Comprehensive psychological evaluations and therapy notes.

Common Clinical Scenarios

Therapeutic interventions for maladaptive behaviors and personality traits.

Billing Considerations

Focus on behavioral assessments and patient self-reports.

Coding Guidelines

Inclusion Criteria

Use F60.8 When
  • According to ICD
  • 10 coding guidelines, F60
  • 8 should be used when a specific personality disorder is identified that does not fall under the other defined categories
  • Documentation must clearly outline the symptoms and their impact on the patient's functioning

Exclusion Criteria

Do NOT use F60.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

90834CPT Code

Psychotherapy, 45 minutes with patient

Clinical Scenario

Used for therapy sessions addressing maladaptive behaviors associated with F60.8.

Documentation Requirements

Session notes must detail the patient's symptoms and progress.

Specialty Considerations

Psychiatrists and psychologists should ensure alignment between diagnosis and treatment provided.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of personality disorders, including F60.8, which captures a broader range of atypical presentations that were previously coded under more general terms in ICD-9.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of personality disorders, including F60.8, which captures a broader range of atypical presentations that were previously coded under more general terms in ICD-9.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of personality disorders, including F60.8, which captures a broader range of atypical presentations that were previously coded under more general terms in ICD-9.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the key symptoms of other specific personality disorders?

Symptoms can vary widely but often include maladaptive behaviors, difficulties in interpersonal relationships, and emotional dysregulation. A thorough assessment is necessary to identify the specific traits and their impact on functioning.