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ICD-10 Guide
ICD-10 CodesF68.8

F68.8

Billable

Other specified disorders of adult personality and behavior

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

Code Description

ICD-10 F68.8 is a billable code used to indicate a diagnosis of other specified disorders of adult personality and behavior.

Key Diagnostic Point:

F68.8 encompasses a variety of personality and behavioral disorders that do not fit neatly into the more defined categories of personality disorders outlined in the ICD-10. This code is used for individuals exhibiting maladaptive behaviors, impulse control issues, or atypical gender identity concerns that significantly impact their social, occupational, or other important areas of functioning. These disorders may manifest as emotional dysregulation, difficulty in interpersonal relationships, or challenges in adapting to social norms. Clinicians may encounter patients who display traits of personality disorders, such as borderline or narcissistic traits, but do not meet the full criteria for these conditions. Additionally, individuals may struggle with impulse control, leading to behaviors that are harmful to themselves or others. The complexity of these disorders often requires a nuanced understanding of the patient's history and current functioning, making accurate diagnosis and coding essential for effective treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in symptom presentation among patients
  • Overlap with other personality disorders
  • Need for comprehensive patient history for accurate diagnosis
  • Potential for co-occurring mental health conditions

Audit Risk Factors

  • Inconsistent documentation of symptoms
  • Failure to provide a clear rationale for diagnosis
  • Lack of comprehensive patient history
  • Misuse of the code for conditions that fit other specific codes

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed patient history, including symptom onset, duration, and impact on functioning.

Common Clinical Scenarios

Patients presenting with emotional dysregulation, impulsivity, or atypical gender identity issues.

Billing Considerations

Consideration of co-occurring disorders and the need for a multidisciplinary approach to treatment.

Psychology

Documentation Requirements

Comprehensive psychological evaluations and assessments.

Common Clinical Scenarios

Patients undergoing therapy for maladaptive behaviors or identity issues.

Billing Considerations

Focus on behavioral assessments and therapeutic interventions.

Coding Guidelines

Inclusion Criteria

Use F68.8 When
  • According to ICD
  • 10 guidelines, F68
  • 8 should be used when the specific disorder does not fall under other defined categories
  • Documentation must support the diagnosis, including a clear description of the maladaptive behaviors and their impact on the patient's life

Exclusion Criteria

Do NOT use F68.8 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.

Documentation Requirements

Session notes detailing the patient's symptoms and progress.

Specialty Considerations

Psychiatrists and psychologists should document the therapeutic approach and patient engagement.

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 these conditions and their treatment outcomes. F68.8 provides flexibility for clinicians to document atypical presentations that do not fit neatly into established categories.

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 these conditions and their treatment outcomes. F68.8 provides flexibility for clinicians to document atypical presentations that do not fit neatly into established categories.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more nuanced coding of personality and behavioral disorders, enabling better tracking of these conditions and their treatment outcomes. F68.8 provides flexibility for clinicians to document atypical presentations that do not fit neatly into established categories.

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 F68.8?

F68.8 includes a range of maladaptive behaviors such as emotional dysregulation, impulsivity, and atypical gender identity concerns that do not meet the criteria for more specific personality disorders.