F60.5

HCC Category Mapping

What This Code Means

A personality disorder characterized by a persistent pattern of preoccupation with orderliness, perfectionism, and control that interferes with relationships and daily functioning. People with this condition are often rigid, overly focused on details and rules, and have difficulty delegating tasks to others.

Coding Tips

• •Do not confuse F60.5 with F42 (Obsessive-compulsive disorder); F60.5 is a personality disorder while F42 is an anxiety disorder with intrusive thoughts and compulsive behaviors
• •Ensure documentation clearly indicates this is a long-standing personality pattern rather than a temporary anxiety condition, as personality disorders are pervasive and stable across time and situations

Clinical Significance

Obsessive-compulsive personality disorder (OCPD) is a chronic mental health condition characterized by rigid perfectionism, need for control, and preoccupation with orderliness that significantly impairs interpersonal relationships and daily functioning. It is one of the most prevalent personality disorders in the general population and often co-occurs with depression, anxiety disorders, and actual obsessive-compulsive disorder, driving increased healthcare utilization. Proper identification supports risk adjustment by recognizing the ongoing psychiatric care needs of affected individuals.

Documentation Requirements

• ✓Documented pervasive pattern of preoccupation with orderliness, perfectionism, and mental/interpersonal control beginning by early adulthood
• ✓Evidence of functional impairment in occupational, social, or daily living activities
• ✓Clinical assessment distinguishing OCPD from obsessive-compulsive disorder (OCD) — OCPD is ego-syntonic (patient sees traits as appropriate)
• ✓Current treatment plan including psychotherapy type and/or medications
• ✓Provider explicitly states the diagnosis of obsessive-compulsive personality disorder (not just OCD traits)

Commonly Confused Codes