F60.2
BillableAntisocial personality disorder
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is F60.2 an HCC code?
Yes. F60.2 maps to Personality Disorders and Dissociative Disorders under the CMS-HCC V28 risk adjustment model (and Personality Disorders under V24).
HCC Category Mapping
RAF weights shown are the community, non-dual, aged base weights from the CMS risk adjustment model file. Actual per-patient RAF contribution depends on member segment, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains in use during the transition and for historical data.
MEAT Criteria for F60.2
For F60.2 to count as a valid HCC diagnosis in a given encounter, the provider's documentation must show MEAT: Monitor, Evaluate, Assess, or Treat. A diagnosis from a prior year does not carry forward automatically — it has to be re-documented and supported each calendar year.
- MMonitor: signs, symptoms, disease progression, or lab trending documented in the note
- EEvaluate: test results, medication response, or physical findings reviewed by the provider
- AAssess: explicit mention in the assessment or plan with acknowledgment of status
- TTreat: medication, referral, procedure, therapy, or counseling tied to the diagnosis
Only one of M/E/A/T is required to support the code, but the documentation must be specific enough to show that the provider actually addressed F60.2 during that encounter — not just copy-forwarded from a problem list.
What This Code Means
F60.2 is the ICD-10-CM diagnosis code for antisocial personality disorder. A personality pattern involving persistent disregard for the rights of others, lack of remorse, and patterns of deceitfulness or impulsivity. F60.2 sits in the ICD-10-CM chapter for mental, behavioral and neurodevelopmental disorders (f01-f99), within the section covering disorders of adult personality and behavior (f60-f69).
Under the CMS-HCC V28 risk adjustment model, F60.2 maps to Personality Disorders and Dissociative Disorders (HCC 153) with a community, non-dual, aged base RAF weight of 1.241. Under the older CMS-HCC V24 model, F60.2 maps to Personality Disorders (HCC 60) with a community, non-dual, aged base RAF weight of 0.000. V28 is the CMS-HCC risk adjustment model that reached 100% phase-in for payment year 2026, replacing V24 which was used during the PY2024–PY2025 transition.
Document evidence of conduct disorder before age 15 and antisocial behavior patterns in adulthood. Because F60.2 maps to a payment HCC, the provider's documentation must satisfy MEAT criteria (Monitor, Evaluate, Assess, or Treat) for the encounter to count toward the patient's Medicare Advantage risk adjustment score. When documentation is ambiguous, coders should issue a provider query rather than assume the highest-specificity variant.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for F60.2 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Document evidence of conduct disorder before age 15 and antisocial behavior patterns in adulthood
- •Note that this diagnosis requires age 18 or older; use conduct disorder codes for individuals under 18
Clinical Significance
Antisocial personality disorder is characterized by a pervasive pattern of disregard for and violation of the rights of others, with onset of conduct symptoms before age 15. This condition is strongly associated with substance use disorders, incarceration, homelessness, and high-risk behaviors. It significantly complicates healthcare delivery through poor treatment compliance, manipulation, and adversarial clinical encounters.
Documentation Requirements
- ✓Documentation of pervasive pattern of disregard for/violation of others' rights since age 15
- ✓Evidence of conduct disorder onset before age 15 (required criterion)
- ✓At least three of: failure to conform to social norms, deceitfulness, impulsivity, irritability/aggressiveness, reckless disregard for safety, consistent irresponsibility, lack of remorse
- ✓Patient must be at least 18 years old
- ✓Pattern not occurring exclusively during schizophrenia or bipolar disorder
Excludes 1 — Do NOT code together
- conduct disorders (F91.-)
Excludes 2 — Not included here, may code separately
- borderline personality disorder (F60.3)