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2025 ICD-10-CM code F60.8

Other specific personality disorders encompass personality patterns deviating from established types, exhibiting eccentric thinking and behavior that negatively impacts relationships and functioning.

Adhere to the official ICD-10-CM coding guidelines and the DSM-5 criteria for personality disorders.If the clinical picture does not match any specific personality disorder, carefully consider all available information to select the most appropriate code. Documentation must support the chosen code.

Medical necessity is established by the presence of significant impairment in social, occupational, or other areas of functioning due to persistent personality patterns inconsistent with cultural norms. The documentation must justify the clinical significance of symptoms and the need for professional intervention.

The clinical responsibility includes comprehensive psychiatric evaluation, diagnosis, and treatment planning involving psychotherapy, medication management if appropriate, and potentially referral for other therapeutic interventions. Ongoing monitoring and adjustment of treatment plan is crucial based on patient progress and needs.

IMPORTANT:This code is used when a personality disorder is present but doesn't neatly fit into the other specified categories (F60.0-F60.7).F60.9 (Personality disorder, unspecified) may be used if insufficient information is available for a more precise diagnosis.

In simple words: This code means a person has a personality that's very different from the norm, causing problems in their relationships and daily life.It's not one of the specific personality disorders doctors usually diagnose but describes unusual behavior patterns that impact their work, school, and personal life.

F60.8, Other specific personality disorders, in the ICD-10-CM classification, denotes personality patterns not fitting the criteria for specific personality disorders (F60.0-F60.7, F60.9) but exhibiting significant deviations in thinking, feeling, and behaving, impacting interpersonal relationships and daily life functioning.These individuals may present with eccentric, immature, narcissistic, passive-aggressive, or other atypical personality traits.Diagnosis relies on a comprehensive clinical evaluation including patient history, mental status examination, and consideration of DSM-5 criteria.Treatment may involve psychotherapy, medication management, group or family therapy, and potentially inpatient care if self-harm or harm to others is a concern.

Example 1: A 30-year-old patient presents with a long history of unstable relationships, difficulty maintaining employment due to unpredictable behavior, and a pattern of impulsive decision-making, not fully meeting the criteria for borderline personality disorder but displaying significant functional impairment., A 45-year-old patient exhibits eccentric beliefs and unusual behaviors, socially isolated, with odd speech patterns and interpersonal difficulties, not entirely fitting the description of schizotypal personality disorder but causing substantial distress and impairment in social and occupational settings., A 25-year-old patient displays a pervasive pattern of grandiosity, need for admiration, and lack of empathy, not meeting the full criteria for narcissistic personality disorder but showing significant interpersonal difficulties, arrogance, and entitlement impacting relationships.

Detailed psychiatric history including onset, course, and impact on functioning.Mental status examination documenting specific behavioral observations, cognitive functioning, and emotional regulation.Information from collateral sources (family, friends, employers) as needed to corroborate reported history and observations.Diagnostic assessment using standardized instruments or criteria (e.g., DSM-5).

** This code is for use when a personality disorder is suspected but doesn't fully meet the criteria of any other specific personality disorder.A thorough clinical evaluation is crucial for accurate coding.The provider should document the specific traits and behaviors that lead to the selection of this code.

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