F91.0
BillableConduct disorder confined to family context
HCC Category Mapping
RxHCCHCC 133 — Personality Disorders, Anxiety, and Other Specified Mental Disorders
0.000What This Code Means
A behavioral disorder in children where rule-breaking and aggressive behavior occurs primarily within the family setting, not in school or community.
Coding Tips
Clinical Significance
Conduct disorder confined to the family context is characterized by persistent antisocial or aggressive behavior that occurs exclusively or primarily within the home environment. The disruptive behavior pattern is directed at family members but the child may function normally in school and community settings. This distinction is clinically important for targeted family-based interventions.
Documentation Requirements
- ✓Provider documentation of conduct disorder with behavior confined to the family context
- ✓Evidence of persistent pattern of aggression, destruction, deceit, or rule violation occurring primarily within the family
- ✓Documentation that the disruptive behavior is significantly reduced or absent outside the family setting
- ✓Assessment of family dynamics and potential contributing factors (abuse, neglect, family conflict)
- ✓Treatment plan emphasizing family-based interventions (family therapy, parent management training)
Commonly Confused Codes
F91.1 — Conduct disorder, childhood-onset type; childhood-onset type involves antisocial behavior across settings, not confined to familyF91.3 — Oppositional defiant disorder; ODD involves angry/argumentative behavior but typically less severe than conduct disorderF91.9 — Conduct disorder, unspecified; use F91.0 when the family-confined pattern is documentedZ62.810 — Personal history of child physical abuse; abuse victimization must be differentiated from conduct disorder
Code Hierarchy
└F91Conduct disorders└F91.0Conduct disorder confined to family context
└F91.0Conduct disorder confined to family context