What is ICD-10 code F60.2?

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. It belongs to the ICD-10-CM chapter for mental, behavioral and neurodevelopmental disorders (f01-f99). F60.2 is a billable code, meaning it can be reported on a claim as a primary or secondary diagnosis when supported by documentation. F60.2 is part of the FY2026 ICD-10-CM code set published by the CMS National Center for Health Statistics and used on Medicare, Medicaid, and commercial claims in the United States.

Yes. F60.2 is a billable ICD-10-CM code that can be reported on professional and institutional claims as a primary or secondary diagnosis when the provider documentation supports the specific condition described. Billable codes in ICD-10-CM are coded to the highest level of specificity available for the documented diagnosis. F60.2 is current for fiscal year 2026 and remains in the active CMS ICD-10-CM code set published by the National Center for Health Statistics.

What is the V28 vs V24 difference for F60.2?

CMS phased in the V28 risk adjustment model over payment years 2024 (33%), 2025 (67%), and 2026 (100%), replacing V24. V28 consolidates HCC categories, removes some lower-acuity conditions, and recalibrates RAF weights across the entire model. For F60.2, V28 maps to Personality Disorders and Dissociative Disorders at RAF 1.241 while V24 mapped to Personality Disorders at RAF 0.000. Both models can still appear in legacy data and in payer-specific lookback periods.

What should coders know when reporting F60.2?

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 Because F60.2 maps to a payment HCC, the documentation must also satisfy MEAT criteria (Monitor, Evaluate, Assess, or Treat) for the encounter to count toward the patient's risk adjustment score.

F60.2 ICD-10 Code: Antisocial personality disorder

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 lookupF60.2Effective 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.

CMS-HCC V28

Mapped

HCC 153

Personality Disorders and Dis...

RAF 1.241

CMS-HCC V24

Mapped

HCC 60

Personality Disorders

RAF 0.0

ACA/HHS

Not risk-adjusted for this model/period.

RAF 0

ESRD/PACE

Mapped

HCC 60

Personality Disorders

RAF 0.0

RXHCC

Mapped

HCC 133

Personality Disorders, Anxiet...

RAF 0.0

Code Trumping

Basket needed

Compare selected patient codes to show trumped or trumps impact.

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)

Related Child 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

ICD-10-CM does not list Includes notes for F60.2 in this effective period.

Excludes 1

Official

conduct disorders (F91.-)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for F60.2 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for F60.2 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for F60.2 in this effective period.

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

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

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

V28HCC 153, Personality Disorders and Dissociative Disorders

1.241

V24HCC 60, Personality Disorders

0.000

ESRDHCC 60, Personality Disorders

0.000

RxHCCHCC 133, Personality Disorders, Anxiety, and Other Specified Mental Disorders

0.000

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 F60.2to 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)

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