F60.6

HCC Category Mapping

What This Code Means

A personality pattern involving persistent social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation by others.

Coding Tips

• •Distinguish from social anxiety disorder; avoidant personality disorder is a pervasive pattern affecting multiple life areas
• •Document evidence of avoidance behaviors across social, occupational, and personal contexts

Clinical Significance

Avoidant personality disorder is a Cluster C personality disorder characterized by pervasive social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation. It causes significant impairment in social and occupational functioning and is associated with high rates of comorbid depression, anxiety, and substance use disorders. Accurate documentation supports recognition of ongoing behavioral health treatment needs for risk adjustment purposes.

Documentation Requirements

• ✓Documentation of pervasive pattern of social inhibition, feelings of inadequacy, and hypersensitivity to criticism present since early adulthood
• ✓Evidence of avoidance of occupational activities involving significant interpersonal contact due to fear of criticism or rejection
• ✓Functional impairment assessment showing impact on social, occupational, or personal domains
• ✓Distinction from social anxiety disorder documented by provider — avoidant PD is a broader, more pervasive pattern
• ✓Current treatment plan (psychotherapy approach, medication management if applicable)

Commonly Confused Codes