Antisocial personality disorder

This code represents a pervasive pattern of disregard for and violation of the rights of others, occurring since age 15. Individuals typically exhibit a lack of empathy, deceitfulness, impulsivity, irritability, and a failure to conform to social norms with respect to lawful behaviors. This diagnosis is characterized by a persistent pattern of antisocial behavior.

Use this code when documentation clearly indicates a diagnosis of antisocial personality disorder, often supported by a history of conduct disorder symptoms before age 15 and a current pattern of antisocial behaviors. This diagnosis requires a comprehensive psychiatric evaluation confirming the diagnostic criteria outlined in the DSM-5.

• Do not code with F91.- (conduct disorders) as per Excludes1 note; conduct disorder is a precursor, not a co-occurring diagnosis for coding purposes.
• Differentiate carefully from F60.3 (borderline personality disorder) as per Excludes2 note; while some features may overlap, the core diagnostic criteria differ.
• Ensure the medical record explicitly states "antisocial personality disorder" and provides sufficient clinical detail to support the diagnosis.