F60.6 maps to CMS-HCC V28 153. A source-labeled RAF reference is available. Confirm the documented diagnosis and applicable coding requirements. MEAT criteria · RAF Calculator · free HCC coding tools

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 lookupF60.6

Effective 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)

F60.6

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

Avoidant personality disorder

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

Buddy Insight

Avoidant personality disorder is a Cluster C personality disorder characterized by pervasive social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation.

Overview Risk Models Code Book Documentation Audit Notes Edition comparison

CMS-HCC V28

Mapped

HCC 153

Personality Disorders; Anorex...

Coefficient HCC 153: 0.396 (Community Non-Dual Aged (CNA))

CMS-HCC V24

Historical

Not used for standard CY2026 Medicare Advantage payment. Select a historical period to review V24.

Not used for CY2026 payment

ACA/HHS

Context needed

HCC 090

Conditional HHS-HCC mapping: HCC 090 when age >= 2. Select the member context before showing a coefficient reference. Metal level and model segment are required for coefficients; no single RAF is shown.

Coefficient needs member context

ESRD/PACE

Context needed

HCC 60

ESRD candidates: HCC 60 when age >= 2 or age < 2. ESRD mapping is separate from PACE. Dialysis, graft, age, and other member context determine the applicable coefficient.

Coefficient needs member context

RXHCC

Mapped

HCC 133

Anxiety and Other Psychiatric...

Code-level coefficient reference

Code Book Path

Official

F60Specific personality disorders F60.6Avoidant personality disorder

Inclusion Terms

Official

Anxious personality disorder

Excludes 2

Official

symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)Inherited from F01-F99

Related Codes

Official

F60.0Paranoid personality disorder F60.1Schizoid personality disorder F60.2Antisocial personality disorder F60.3Borderline personality disorder F60.4Histrionic personality disorder

Includes

Official

disorders of psychological developmentInherited from F01-F99

Excludes 1

Official

No Excludes 1 notes are included in this display for F60.6. Check the code and parent instructions in the Code Book.

Code First

Official

No Code First sequencing instructions are included in this display for F60.6. Check the code and parent instructions in the Code Book.

Use Additional

Official

No Use Additional Code instructions are included in this display for F60.6. Check the code and parent instructions in the Code Book.

Code Also

Official

No Code Also instructions are included in this display for F60.6. Check the code and parent instructions in the Code Book.

Buddy Documentation Tip

HCC Buddy guidance

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

MEAT Support

HCC Buddy guidance

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

Audit Caution

HCC Buddy guidance

Confusing avoidant personality disorder with social anxiety disorder (social phobia) — they can co-occur but are distinct diagnoses

Coding avoidant PD based on transient social anxiety symptoms rather than a longstanding personality pattern

Not differentiating from schizoid personality disorder when the patient presents with social isolation

Using the unspecified code F60.9 when the provider clearly documents avoidant personality disorder

Common Mistakes

HCC Buddy guidance

F40.10 — Social phobia, unspecified; social phobia is a discrete anxiety disorder while avoidant PD is a pervasive personality pattern affecting all domains

F60.1 — Schizoid personality disorder; both involve social withdrawal but schizoid patients lack desire for relationships while avoidant patients desire them but fear rejection

F60.5 — Obsessive-compulsive personality disorder; both are Cluster C but OCPD centers on perfectionism and control, not fear of rejection

F60.7 — Dependent personality disorder; both are Cluster C with interpersonal difficulties but dependent PD involves clinging behavior rather than avoidance

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 F60.6 an HCC code?

Yes. F60.6 (Avoidant personality disorder) maps to HCC 153, Personality Disorders; Anorexia/Bulimia Nervosa under the CMS-HCC V28 risk adjustment model, with a source-labeled community non-dual aged reference coefficient of 0.396. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes. It is billable for payment year 2026.

Coder answer: F60.6 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: F60.6
Description: Avoidant personality disorder
HCC (V28): HCC 153 — Personality Disorders; Anorexia/Bulimia Nervosa
RAF reference coefficient: 0.396
Billable: Yes
Payment year: 2026

HCC Category Mapping

V28HCC 153, Personality Disorders; Anorexia/Bulimia Nervosa

0.396

RxHCCHCC 133, Anxiety and Other Psychiatric Disorders

Not separately weighted

These are source-labeled model coefficients, not member totals. A category may still be removed by hierarchy or model cleanup rules. 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 context, hierarchy and cleanup rules, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains available for historical review.

Work F60.6 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →

MEAT review for F60.6

For F60.6, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule.

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

Coder workflow notes

Get the V28 mapping + MEAT cheat sheet

One printable reference: check representative V28 mappings and the documentation reminders your note needs. Free, no card.

Free PDF. No card. Unsubscribe anytime.

What This Code Means

F60.6 is the ICD-10-CM diagnosis code for avoidant personality disorder. A personality pattern involving persistent social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation by others. F60.6 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, F60.6 maps to Personality Disorders; Anorexia/Bulimia Nervosa (HCC 153) with a source-labeled community, non-dual, aged reference coefficient of 0.396. For CY2026 non-PACE Medicare Advantage, CMS uses 100% of the 2024 CMS-HCC model (V28). PACE uses a separate model blend. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes.

Distinguish from social anxiety disorder; avoidant personality disorder is a pervasive pattern affecting multiple life areas. For F60.6, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule. 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, source-labeled coefficient references, and MEAT documentation criteria for F60.6 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

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

•F40.10: Social phobia, unspecified; social phobia is a discrete anxiety disorder while avoidant PD is a pervasive personality pattern affecting all domains
•F60.1: Schizoid personality disorder; both involve social withdrawal but schizoid patients lack desire for relationships while avoidant patients desire them but fear rejection
•F60.5: Obsessive-compulsive personality disorder; both are Cluster C but OCPD centers on perfectionism and control, not fear of rejection
•F60.7: Dependent personality disorder; both are Cluster C with interpersonal difficulties but dependent PD involves clinging behavior rather than avoidance