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2025 ICD-10-CM code F60.2

Antisocial personality disorder.A mental condition characterized by a disregard for right and wrong and a lack of remorse for harmful actions.

It's crucial to distinguish ASPD from other conditions with similar symptoms, such as other personality disorders or substance use disorders.Conduct disorder in childhood must be present for a diagnosis of ASPD.The behaviors must not be solely during the course of schizophrenia or bipolar disorder.Always refer to the latest ICD-10-CM guidelines.

Medical necessity for services related to ASPD must demonstrate that the disorder significantly impairs the individual's functioning in social, occupational, or other important areas.Documentation should support the need for the specific intervention being requested and its potential to improve the patient's condition.

Clinicians diagnose ASPD based on patient history, including childhood behavioral issues, and observation of adult behaviors like disregard for laws and others' feelings. Treatment includes psychotherapy and addressing co-occurring substance abuse. The cause is unknown but likely involves genetic, environmental, and developmental factors.

In simple words: Antisocial personality disorder is a mental health condition where a person consistently disregards right and wrong and the feelings of others. They may lie, manipulate, act aggressively, and show no remorse for their actions.This pattern often starts in childhood or the teen years.

Antisocial personality disorder (ASPD), also known as sociopathy, is a mental disorder characterized by a pervasive pattern of disregard for and violation of the rights of others, occurring since age 15 years, as indicated by three (or more) of the following: 1. Failure to conform to social norms with respect to lawful behaviors, as indicated by repeatedly performing acts that are grounds for arrest. 2. Deceitfulness, as indicated by repeated lying, use of aliases, or conning others for personal profit or pleasure. 3. Impulsivity or failure to plan ahead. 4. Irritability and aggressiveness, as indicated by repeated physical fights or assaults. 5. Reckless disregard for safety of self or others. 6. Consistent irresponsibility, as indicated by repeated failure to sustain consistent work behavior or honor financial obligations. 7. Lack of remorse, as indicated by being indifferent to or rationalizing having hurt, mistreated, or stolen from another. The individual is at least age 18 years. There is evidence of conduct disorder with onset before age 15 years. The occurrence of antisocial behavior is not exclusively during the course of schizophrenia or bipolar disorder.

Example 1: A 25-year-old male is referred for evaluation after multiple arrests for theft and assault. He shows no remorse and blames others for his actions.His history reveals conduct disorder during childhood.Diagnosis: F60.2, A 30-year-old female repeatedly lies to her family and friends, manipulates them for financial gain, and demonstrates a callous disregard for their emotional well-being.She meets criteria for F60.2., A patient presents with aggressive outbursts, impulsive behaviors, and disregard for personal safety. After careful evaluation including childhood conduct disorder, they receive a diagnosis of antisocial personality disorder (F60.2). They are started on therapy.

Documentation should include a comprehensive history detailing the patient's long-term patterns of behavior, evidence of conduct disorder before age 15, and the presence of at least three of the diagnostic criteria for ASPD.It's important to document specific examples of the patient's actions and their impact on others.

** It's important to approach patients with ASPD with empathy and understanding while also maintaining professional boundaries.Safety considerations may be necessary in some cases.

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