What is ICD-10 code F60.5?

F60.5 is the ICD-10-CM diagnosis code for Obsessive-compulsive personality disorder. It belongs to the ICD-10-CM chapter for mental, behavioral and neurodevelopmental disorders (f01-f99). F60.5 is a billable code, meaning it can be reported on a claim as a primary or secondary diagnosis when supported by documentation. F60.5 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. F60.5 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. F60.5 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.

Which HCC does F60.5 map to under V28?

F60.5 maps to CMS-HCC V28 153 (Personality Disorders; Anorexia/Bulimia Nervosa). The category number and label come from the CMS-HCC V28 model file for payment year 2026.

What does F60.5 pay in RAF?

F60.5 carries a community, non-dual, aged (CNA) RAF weight of 0.396 under CMS-HCC V28 for payment year 2026. The weight comes from the CMS V28 relative-factor file, not a hand-typed table.

What is the V28 vs V24 difference for F60.5?

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 F60.5, V28 maps to Personality Disorders; Anorexia/Bulimia Nervosa at RAF 0.396 while V24 mapped to Personality Disorders at RAF 0.309. Both models can still appear in legacy data and in payer-specific lookback periods.

What documentation supports F60.5?

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 Because F60.5 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. See the MEAT criteria checklist at /meat-criteria for what Monitor, Evaluate, Assess, or Treat looks like in a note. MEAT is generic documentation evidence, not a payer-specific rule.

2026 ICD-10-CM F60.5: Obsessive-compulsive

F60.5 maps to CMS-HCC V28 153 (RAF 0.396). Documentation must support MEAT. MEAT criteria · RAF calculator · HCC coding software

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Code lookupF60.5Effective 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)

F60.5

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

Obsessive-compulsive personality disorder

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.

Buddy Insight

CMS-HCC V28

Mapped

HCC 153

Personality Disorders; Anorex...

RAF 0.396

CMS-HCC V24

Mapped

HCC 60

Personality Disorders

RAF 0.309

ACA/HHS

Mapped

HCC 90

HHS-HCC 90

Varies by metal level

ESRD/PACE

Mapped

HCC 60

Personality Disorders

RAF 0.066

RXHCC

Mapped

HCC 133

Personality Disorders, Anxiet...

RAF 0.035

Code Book Path

Official

F60Specific personality disorders

F60.5Obsessive-compulsive personality disorder

Inclusion Terms

Official

Anankastic personality (disorder)
Compulsive personality (disorder)
Obsessional personality (disorder)

Excludes 2

Official

obsessive-compulsive disorder (F42.-)

Related Child Codes

Official

F60.0Paranoid personality disorder

F60.1Schizoid personality disorder

F60.2Antisocial personality disorder

F60.3Borderline personality disorder

F60.4Histrionic personality disorder

Includes

Official

ICD-10-CM does not list Includes notes for F60.5 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for F60.5 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for F60.5 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for F60.5 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for F60.5 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance

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

MEAT Support

HCC Buddy guidance

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

Audit Caution

HCC Buddy guidance

Confusing OCPD (F60.5) with OCD (F42.x) — they are fundamentally different conditions despite similar names

Coding OCPD based on personality traits alone without documented functional impairment meeting diagnostic criteria

Failing to report OCPD when it is documented as an active condition because it seems less clinically urgent than other diagnoses

Using unspecified personality disorder F60.9 when the provider has clearly documented OCPD

Common Mistakes

HCC Buddy guidance

F42.2 — Mixed obsessive thoughts and acts (OCD); OCD involves intrusive ego-dystonic thoughts and compulsive rituals, while OCPD is a personality pattern of rigidity and perfectionism

F42.8 — Other obsessive-compulsive disorder; represents specific OCD presentations, not a personality disorder

F60.0 — Paranoid personality disorder; both involve rigidity but paranoid PD centers on distrust and suspicion

F60.4 — Histrionic personality disorder; both are Cluster C adjacent but histrionic is dramatic and attention-seeking, opposite of OCPD's restraint

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 F60.5 an HCC code?

Yes. F60.5 (Obsessive-compulsive personality disorder) maps to Personality Disorders; Anorexia/Bulimia Nervosa under the CMS-HCC V28 risk adjustment model (and Personality Disorders under V24), with a community non-dual aged RAF of 0.396. It is billable for payment year 2026.

Coder answer: F60.5 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: F60.5
Description: Obsessive-compulsive personality disorder
HCC (V28): HCC 153 — Personality Disorders; Anorexia/Bulimia Nervosa
RAF: 0.396
Billable: Yes
Payment year: 2026

HCC Category Mapping

V28HCC 153, Personality Disorders; Anorexia/Bulimia Nervosa

0.396

V24HCC 60, Personality Disorders

0.309

ESRDHCC 60, Personality Disorders

0.066

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

0.035

Each model's RAF is its CMS base weight for that model's standard population, so 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 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.

Work F60.5 in the Code Book — tabular path, V28 RAF, and MEAT checklist →

MEAT Criteria for F60.5

For F60.5 to 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 F60.5 during that encounter, not just copy-forwarded from a problem list.

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What This Code Means

F60.5 is the ICD-10-CM diagnosis code for obsessive-compulsive personality disorder. 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. F60.5 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, F60.5 maps to Personality Disorders; Anorexia/Bulimia Nervosa (HCC 153) with a community, non-dual, aged base RAF weight of 0.396. Under the older CMS-HCC V24 model, F60.5 maps to Personality Disorders (HCC 60) with a community, non-dual, aged base RAF weight of 0.309. 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.

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. Because F60.5 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 F60.5 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

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)

Excludes 2, Not included here, may code separately

obsessive-compulsive disorder (F42.-)

Commonly Confused Codes

•F42.2: Mixed obsessive thoughts and acts (OCD); OCD involves intrusive ego-dystonic thoughts and compulsive rituals, while OCPD is a personality pattern of rigidity and perfectionism
•F42.8: Other obsessive-compulsive disorder; represents specific OCD presentations, not a personality disorder
•F60.0: Paranoid personality disorder; both involve rigidity but paranoid PD centers on distrust and suspicion
•F60.4: Histrionic personality disorder; both are Cluster C adjacent but histrionic is dramatic and attention-seeking, opposite of OCPD's restraint