F60.2
BillableAntisocial personality disorder
HCC Category Mapping
V28HCC 153 — Personality Disorders and Dissociative Disorders
1.241V24HCC 60 — Personality Disorders
0.000ESRDHCC 60 — Personality Disorders
0.000RxHCCHCC 133 — Personality Disorders, Anxiety, and Other Specified Mental Disorders
0.000What This Code Means
A personality pattern involving persistent disregard for the rights of others, lack of remorse, and patterns of deceitfulness or impulsivity.
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 antisocialF60.81 (Narcissistic personality disorder) — grandiosity without the conduct disorder history and legal violationsF91.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 violationsF60.0 (Paranoid personality disorder) — distrust/suspiciousness without the exploitation and conduct history
Code Hierarchy
└F60Specific personality disorders└F60.2Antisocial personality disorder
└F60.2Antisocial personality disorder