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2025 ICD-10-CM code Z72.811

Adult antisocial behavior without manifest psychiatric disorder.

A Z code should not be used as a primary diagnosis if a definitive diagnosis related to the antisocial behavior can be made. Ensure appropriate Excludes1 notes (conduct disorders) and Excludes2 notes (problems related to life-management difficulty and socioeconomic/psychosocial circumstances) are considered.

Medical necessity for using Z72.811 is established by the presence of documented adult antisocial behavior in the absence of a diagnosable psychiatric disorder, and the need for intervention or management of this behavior.

The clinician is responsible for documenting the antisocial behaviors observed and ensuring there is no underlying psychiatric disorder to explain them.

In simple words: This code is used when an adult shows antisocial behavior, but doesn't have a diagnosed mental illness causing it.

This code is used to describe adult antisocial behavior when there isn't a clear psychiatric disorder present.It applies to individuals aged 15-124.

Example 1: A 25-year-old patient presents for a routine check-up. During the visit, they describe a pattern of reckless behavior, including disregard for rules and the safety of others. After a thorough evaluation, no psychiatric disorder is found to be contributing to the behavior. The code Z72.811 is used., A 40-year-old individual is referred for anger management after a series of confrontations at work.They display a history of deceitful actions, but no diagnosable psychiatric condition is present. Z72.811 is applied., An 18-year-old patient is brought in by their parents due to ongoing issues with authority and consistent disregard for social norms.No underlying mental health condition is identified. Z72.811 is assigned.

Documentation should include specific examples of the observed antisocial behavior, details of the clinical evaluation to rule out any psychiatric disorder, and the age of the patient.

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