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ICD-10 Guide
ICD-10 CodesChapter 5: Mental, Behavioral and Neurodevelopmental disordersF68

F68

Billable

Other disorders of adult personality and behavior

Chapter 5:Mental, Behavioral and Neurodevelopmental disorders

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

Code Description

ICD-10 F68 is a billable code used to indicate a diagnosis of other disorders of adult personality and behavior.

Key Diagnostic Point:

F68 encompasses a range of disorders characterized by maladaptive personality traits and behaviors that do not fit neatly into established categories of personality disorders. These may include atypical presentations of personality disorders, impulse control issues, and disturbances in gender identity. Individuals with these disorders often exhibit behaviors that are socially inappropriate or maladaptive, leading to significant distress or impairment in social, occupational, or other important areas of functioning. The disorders may manifest as impulsivity, emotional dysregulation, or difficulties in interpersonal relationships. Clinicians must conduct thorough assessments to differentiate these disorders from more defined personality disorders, as well as from other mental health conditions. Treatment often involves psychotherapy, behavioral interventions, and, in some cases, pharmacotherapy to manage symptoms. Accurate diagnosis and coding are crucial for effective treatment planning and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of symptoms that can overlap with other mental health disorders
  • Need for comprehensive clinical documentation to support diagnosis
  • Potential for misdiagnosis with established personality disorders
  • Variability in presentation and severity among patients

Audit Risk Factors

  • Inadequate documentation supporting the diagnosis
  • Failure to differentiate from other personality disorders
  • Lack of evidence for treatment necessity
  • Inconsistent coding practices among providers

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed patient history, symptom description, and treatment plan.

Common Clinical Scenarios

Patients presenting with impulsivity, emotional instability, or atypical personality traits.

Billing Considerations

Ensure comprehensive assessments are documented to support the diagnosis.

Psychology

Documentation Requirements

Psychological evaluations, therapy notes, and progress reports.

Common Clinical Scenarios

Therapeutic interventions for maladaptive behaviors and personality traits.

Billing Considerations

Document behavioral observations and therapeutic outcomes clearly.

Coding Guidelines

Inclusion Criteria

Use F68 When
  • According to ICD
  • 10 guidelines, F68 is used when the symptoms do not meet the criteria for specific personality disorders
  • Coders must ensure that the diagnosis is supported by clinical documentation and that it reflects the patient's current state

Exclusion Criteria

Do NOT use F68 When
No specific exclusions found.

Related CPT Codes

90834CPT Code

Psychotherapy, 45 minutes with patient

Clinical Scenario

Used for therapy sessions addressing maladaptive behaviors.

Documentation Requirements

Session notes detailing patient progress and treatment goals.

Specialty Considerations

Psychiatrists and psychologists should document therapeutic interventions clearly.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more nuanced coding of personality and behavioral disorders, enabling better tracking of treatment outcomes and resource allocation. F68 provides flexibility in coding for atypical presentations that may have been overlooked in ICD-9.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more nuanced coding of personality and behavioral disorders, enabling better tracking of treatment outcomes and resource allocation. F68 provides flexibility in coding for atypical presentations that may have been overlooked in ICD-9.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more nuanced coding of personality and behavioral disorders, enabling better tracking of treatment outcomes and resource allocation. F68 provides flexibility in coding for atypical presentations that may have been overlooked 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 types of behaviors are included under F68?

F68 includes a variety of maladaptive behaviors such as impulsivity, emotional dysregulation, and atypical personality traits that do not fit into specific personality disorder categories.