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FY2027 ICD-10-CM reference

F60.4: Histrionic personality disorder

By the HCC Buddy Coding Team

The official ICD-10-CM descriptor is Histrionic personality disorder. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.

Billable code. Verified against the official FY2027 order file.

CMS-HCC V28

  • HCC 153: Personality Disorders; Anorexia/Bulimia Nervosa · RAF 0.396, Community Non-Dual Aged (CNA)

Payment year 2027, 2026 dates of service. HCC from the CMS 2027 Initial ICD-10-CM Mappings; RAF from the CMS-HCC V28 relative factors. For 2027 dates of service, CMS has not yet published the payment year 2028 mappings.

CMS-HCC V24

Not used for payment year 2027 Medicare Advantage payment

ESRD

  • HCC 60: Personality Disorders
  • CMS lists the same category for every age band in its model mapping

No RAF is shown: it depends on the member. Mapping: PY2026 CMS mapping; CMS 2027 initial file unchanged.

PACE

Source verification pending

RxHCC

  • HCC 133: Anxiety and Other Psychiatric Disorders

Coefficient pending: payment year 2027 coefficients for this model are not yet verified, so no RAF is shown. Mapping: PY2026 CMS mapping; CMS 2027 initial file unchanged.

HHS-HCC

  • HCC 90: HHS-HCC 90
  • This code has a CMS age requirement: applies when age >= 2

No RAF is shown: it depends on the member. Mapping: HHS-HCC 2026 benefit year.

FY2027 Tabular instructions

Instructions below include applicable chapter, section and parent-code notes. Each note identifies where it appears in the official source.

Includes

disorders of psychological development

Source: F01-F99 (chapter, inherited).

Excludes2

symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)

Source: F01-F99 (chapter, inherited).

Instructional note

Hysterical personality (disorder)

Source: F60.4 (self, direct).

Instructional note

Psychoinfantile personality (disorder)

Source: F60.4 (self, direct).

Source: CMS FY2027 Tabular List and Alphabetic Index.

Open Tabular instructions and code details

Compare the FY2027 additions, removals and billable-status changes

What does F60.4 mean in FY2027?

The official ICD-10-CM descriptor is Histrionic personality disorder. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.

Is F60.4 billable in FY2027?

The FY2027 order file marks F60.4 as billable. Check the complete Tabular instructions and documentation before assigning it.

Does F60.4 map to an HCC?

In the CMS 2027 Initial ICD-10-CM Mappings (payment year 2027, 2026 dates of service), F60.4 maps to CMS-HCC V28 HCC 153 (Personality Disorders; Anorexia/Bulimia Nervosa). For 2027 dates of service, CMS has not yet published the payment year 2028 mappings. Under the PY2026 CMS mapping; CMS 2027 initial file unchanged: ESRD HCC 60 (CMS lists the same category for every age band in its model mapping); RxHCC HCC 133. Coefficients for these models are pending verification for payment year 2027. HHS-HCC: HCC 90 (This code has a CMS age requirement: applies when age >= 2) under the HHS-HCC 2026 benefit year mapping (no RAF; HHS-HCC weights vary by metal level). CMS-HCC V24: not used for payment year 2027 Medicare Advantage payment (CMS CY 2027 Rate Announcement). The PACE mapping is still pending verification for FY2027.

Source: CMS FY2027 ICD-10-CM order file. Payment model: CMS CY 2027 Rate Announcement. Read the FY2027 Official Guidelines.

Review the FY2026 April edition