2025 ICD-10-CM code F68.8
This code refers to other specified disorders of adult personality and behavior not otherwise classified.
Medical necessity is established by documenting the presence of clinically significant distress or impairment in social, occupational, or other important areas of functioning due to a personality or behavior disorder that isn't classifiable under another specific code. The documentation should support the need for intervention and treatment.
The diagnosis is based on a comprehensive clinical assessment that includes the patient's history, signs, symptoms, and a mental status examination. Additional diagnostic tests and procedures, as well as the treatment plan, depend on the specific suspected disorder.
- Mental, Behavioral and Neurodevelopmental disorders (F01-F99)
- Disorders of adult personality and behavior (F60-F69)
In simple words: This code is used when someone has a personality or behavior disorder that isn't described by any other specific code in the ICD-10-CM system. These disorders affect how a person thinks, feels, relates to others, and controls their impulses, causing problems in their daily lives.
Other specified disorders of adult personality and behavior include conditions that cause significant impairment in social, occupational, or other important areas of functioning, and are characterized by persistent patterns of inner experience and behavior that deviate markedly from cultural expectations. These disorders manifest in two or more of the following areas: cognition, affectivity, interpersonal functioning, or impulse control.
Example 1: A patient presents with symptoms suggestive of a personality disorder, but doesn't fully meet the criteria for any specific disorder. After a thorough evaluation, the clinician determines that the patient's symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning, and the diagnosis of "Other specified disorder of adult personality and behavior" is assigned, using code F68.8., A patient exhibits mixed features of different personality disorders, making a definitive diagnosis challenging.After a comprehensive evaluation, no single personality disorder diagnosis adequately captures the clinical picture, and F68.8 is used., A patient experiences a personality change following a traumatic brain injury. While the changes affect their interpersonal relationships and occupational functioning, they don't align with a specific personality disorder. In this instance, F68.8 is appropriate.
Documentation should include a detailed description of the patient's presenting symptoms, including duration and severity, a thorough psychosocial history, mental status examination findings, and any relevant diagnostic testing results. The documentation should also clearly explain why the patient doesn't meet the criteria for any specific personality disorder.
- Payment Status: Active
- Specialties:Psychiatry, Psychology, Clinical Social Work
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office, Psychiatric Facility-Partial Hospitalization, Community Mental Health Center, Psychiatric Residential Treatment Center, Non-residential Substance Abuse Treatment Facility, Federally Qualified Health Center, and others as applicable.