Antisocial personality disorder

This code represents a pervasive pattern of disregard for and violation of the rights of others, occurring since age 15. Individuals often exhibit deceitfulness, impulsivity, irritability, aggressiveness, and a consistent irresponsibility, with a lack of remorse for their actions.

Apply this code when documentation clearly indicates a diagnosis of antisocial personality disorder, meeting the diagnostic criteria outlined in the DSM-IV or DSM-5. Supporting documentation should detail a history of conduct disorder before age 15 and the persistent pattern of antisocial behaviors in adulthood.

• Ensure the provider's documentation explicitly states "antisocial personality disorder" and not just "antisocial traits."
• Differentiate from other personality disorders, particularly narcissistic or borderline, by focusing on the core features of disregard for others' rights and lack of empathy.
• Verify that the onset of symptoms aligns with diagnostic criteria (i.e., evidence of conduct disorder before age 15).