F60.2 maps to CMS-HCC V28 153. A source-labeled RAF reference is available. Confirm the documented diagnosis and applicable coding requirements. MEAT criteria · RAF Calculator · HCC coding software

ICD-10-CM Code View

HCC Buddy Code Card

Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.

Code lookupF60.2

Effective periodFY2026 Apr Update (Apr 1-Sep 30)

FY 2026 Apr update / Mental, Behavioral and Neurodevelopmental disorders (F01-F99) / Disorders of adult personality and behavior (F60-F69)

F60.2

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Antisocial personality disorder

A personality pattern involving persistent disregard for the rights of others, lack of remorse, and patterns of deceitfulness or impulsivity.

Buddy Insight

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.

Overview Risk Models Code Book Documentation Audit Notes Edition comparison

CMS-HCC V28

Mapped

HCC 153

Personality Disorders; Anorex...

Coefficient HCC 153: 0.396 (Community Non-Dual Aged (CNA))

CMS-HCC V24

Historical

Not used for standard CY2026 Medicare Advantage payment. Select a historical period to review V24.

Not used for CY2026 payment

ACA/HHS

Context needed

HCC 090

Conditional HHS-HCC mapping: HCC 090 when age >= 2. Select the member context before showing a coefficient reference. Metal level and model segment are required for coefficients; no single RAF is shown.

Coefficient needs member context

ESRD/PACE

Context needed

HCC 60

ESRD candidates: HCC 60 when age >= 2 or age < 2. ESRD mapping is separate from PACE. Dialysis, graft, age, and other member context determine the applicable coefficient.

Coefficient needs member context

RXHCC

Mapped

HCC 133

Anxiety and Other Psychiatric...

Code-level coefficient reference

Code Book Path

Official

F60Specific personality disorders F60.2Antisocial personality disorder

Inclusion Terms

Official

Amoral personality (disorder)
Asocial personality (disorder)
Dissocial personality disorder
Psychopathic personality (disorder)
Sociopathic personality (disorder)

Excludes 2

Official

borderline personality disorder (F60.3)
symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)Inherited from F01-F99

Related Codes

Official

F60.0Paranoid personality disorder F60.1Schizoid personality disorder F60.3Borderline personality disorder F60.4Histrionic personality disorder F60.5Obsessive-compulsive personality disorder

Includes

Official

disorders of psychological developmentInherited from F01-F99

Excludes 1

Official

conduct disorders (F91.-)

Code First

Official

No Code First sequencing instructions are included in this display for F60.2. Check the code and parent instructions in the Code Book.

Use Additional

Official

No Use Additional Code instructions are included in this display for F60.2. Check the code and parent instructions in the Code Book.

Code Also

Official

No Code Also instructions are included in this display for F60.2. Check the code and parent instructions in the Code Book.

Buddy Documentation Tip

HCC Buddy guidance

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

MEAT Support

HCC Buddy guidance

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

Audit Caution

HCC Buddy guidance

Coding antisocial personality disorder in patients under 18 — diagnosis requires age 18 or older; use conduct disorder codes for minors

Diagnosing without evidence of conduct disorder before age 15 — this is a required diagnostic criterion

Confusing antisocial personality disorder with antisocial behavior in the context of substance use — the personality disorder must be present independent of substance effects

Stigma-based reluctance to code this diagnosis when documentation clearly supports it

Common Mistakes

HCC Buddy guidance

F60.3 (Borderline personality disorder) — emotional instability and fear of abandonment, distinct from the exploitation pattern of antisocial

F60.81 (Narcissistic personality disorder) — grandiosity without the conduct disorder history and legal violations

F91.x (Conduct disorders) — use for patients under 18; antisocial personality disorder requires age 18+

F63.81 (Intermittent explosive disorder) — episodic aggression without the pervasive pattern of rights violations

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Is F60.2 an HCC code?

Yes. F60.2 (Antisocial personality disorder) maps to HCC 153, Personality Disorders; Anorexia/Bulimia Nervosa under the CMS-HCC V28 risk adjustment model, with a source-labeled community non-dual aged reference coefficient of 0.396. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes. It is billable for payment year 2026.

Coder answer: F60.2 is billable and maps to V28 HCC 153, Personality Disorders; Anorexia/Bulimia Nervosa. Open it in the Code Book for the tabular path, RAF, and MEAT checklist.

Code: F60.2
Description: Antisocial personality disorder
HCC (V28): HCC 153 — Personality Disorders; Anorexia/Bulimia Nervosa
RAF reference coefficient: 0.396
Billable: Yes
Payment year: 2026

HCC Category Mapping

V28HCC 153, Personality Disorders; Anorexia/Bulimia Nervosa

0.396

RxHCCHCC 133, Anxiety and Other Psychiatric Disorders

Not separately weighted

These are source-labeled model coefficients, not member totals. A category may still be removed by hierarchy or model cleanup rules. Weights are not directly comparable across models: CMS-HCC V28 and V24 use Community, Non-Dual, Aged; ESRD uses the dialysis continuing-enrollee model; RxHCC is the Part D continuing-enrollee, non-low-income, aged weight (a larger scale than CMS-HCC). ACA/HHS has no single weight — it varies by metal level. Actual per-patient RAF contribution depends on member context, hierarchy and cleanup rules, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains available for historical review.

Work F60.2 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →

MEAT review for F60.2

For F60.2, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule.

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

Coder workflow notes

Get the V28 mapping + MEAT cheat sheet

One printable reference: check representative V28 mappings and the documentation reminders your note needs. Free, no card.

Free PDF. No card. Unsubscribe anytime.

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; Anorexia/Bulimia Nervosa (HCC 153) with a source-labeled community, non-dual, aged reference coefficient of 0.396. For CY2026 non-PACE Medicare Advantage, CMS uses 100% of the 2024 CMS-HCC model (V28). PACE uses a separate model blend. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes.

Document evidence of conduct disorder before age 15 and antisocial behavior patterns in adulthood. For F60.2, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule. 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, source-labeled coefficient references, 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)

Commonly Confused Codes

•F60.3 (Borderline personality disorder): emotional instability and fear of abandonment, distinct from the exploitation pattern of antisocial
•F60.81 (Narcissistic personality disorder): grandiosity without the conduct disorder history and legal violations
•F91.x (Conduct disorders): use for patients under 18; antisocial personality disorder requires age 18+
•F63.81 (Intermittent explosive disorder): episodic aggression without the pervasive pattern of rights violations
•F60.0 (Paranoid personality disorder): distrust/suspiciousness without the exploitation and conduct history