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2025 ICD-10-CM code Z72.810

Child and adolescent antisocial behavior.

A Z code should not be used as a primary diagnosis if a definitive diagnosis exists. If a procedure is performed, a procedure code must also be included.

Medical necessity is established by the presence of antisocial behaviors interfering with the child or adolescent's social, academic, or family functioning, in the absence of a diagnosable psychiatric disorder.

The provider must document the specific behaviors observed and rule out any underlying psychiatric disorders.

In simple words: This code is used when a child or teenager shows antisocial behavior, like skipping school or getting into trouble with the law, but doesn't have a mental health condition that explains it.

This code represents a reason for encounter and indicates child and adolescent antisocial behavior.It is used when a child or adolescent exhibits antisocial behavior but does not have a diagnosable psychiatric disorder.Examples include delinquency, gang-related offenses, stealing with others, and truancy.

Example 1: A 15-year-old is brought in by their parents due to repeated truancy and shoplifting. The adolescent does not meet the criteria for a conduct disorder., A 10-year-old child is referred by the school due to bullying and aggressive behavior towards classmates. No other mental health issues are identified., A 17-year-old is involved in gang activity and has been arrested for vandalism.No psychiatric diagnosis is found.

Documentation should include details of the antisocial behaviors, the duration and frequency of the behaviors, and the impact on the child's or adolescent's functioning.It should also include evidence that a psychiatric disorder has been ruled out.

** Excludes1: conduct disorders (F91.-)Excludes2: problems related to life-management difficulty (Z73.-), problems related to socioeconomic and psychosocial circumstances (Z55-Z65)

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