Obsessive-compulsive personality disorder

This code represents a pervasive pattern of preoccupation with orderliness, perfectionism, and mental and interpersonal control, at the expense of flexibility, openness, and efficiency. Individuals with this disorder often exhibit rigidity, stubbornness, and an excessive devotion to work and productivity. It is a personality disorder characterized by maladaptive traits that are enduring and impact multiple areas of functioning.

Use this code when documentation clearly indicates a diagnosis of obsessive-compulsive personality disorder, as distinct from obsessive-compulsive disorder. This diagnosis is typically made by a psychiatrist or other mental health professional based on a comprehensive clinical assessment and meeting specific diagnostic criteria. Supporting documentation should detail the pervasive and inflexible nature of these personality traits.

• Differentiate carefully from F42.- (Obsessive-compulsive disorder), which involves recurrent obsessions and compulsions, not a pervasive personality style.
• Ensure the documentation specifies "personality disorder" to avoid confusion with other OCD-related conditions.
• Consider sequencing with other mental health codes if multiple diagnoses are present, following ICD-10-CM guidelines for primary and secondary diagnoses.