Conduct disorder confined to family context

This code describes a pattern of disruptive and aggressive behavior in a child or adolescent that is specifically limited to interactions within their immediate family environment. These behaviors violate the basic rights of others or major age-appropriate societal norms, but are not observed outside the family unit.

Use this code when documentation clearly indicates a diagnosis of conduct disorder where the problematic behaviors (e.g., aggression, destruction of property, deceitfulness, serious rule violations) are exclusively confined to the family setting. This diagnosis is typically made by a mental health professional based on a comprehensive assessment and family history.

• Differentiate from other conduct disorder codes (e.g., F91.1, F91.2) which indicate broader social or group settings for the behaviors.
• Ensure documentation explicitly states the "confined to family context" aspect; otherwise, a more general conduct disorder code may be appropriate.
• Consider co-occurring mental health conditions, such as ADHD or mood disorders, and code them separately if present and documented.