ICD-10 Coding for Emotionally Unstable Personality Disorder(F60.3, F60.30, F60.31)
Complete ICD-10-CM coding and documentation guide for Emotionally Unstable Personality Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Emotionally Unstable Personality Disorder
F60-F69Primary Range
Disorders of adult personality and behavior
This range includes all personality disorders, with F60.3 specifically for emotionally unstable personality disorder.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F60.3 | Emotionally unstable personality disorder | Use when the patient meets criteria for emotionally unstable personality disorder, specifying subtype. |
|
| F60.30 | Impulsive type | Use when impulsive behaviors are predominant without borderline features. |
|
| F60.31 | Borderline type | Use when borderline features are predominant, including self-harm and unstable relationships. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for emotionally unstable personality disorder
Essential facts and insights about Emotionally Unstable Personality Disorder
Primary ICD-10-CM Codes for emotionally unstable personality disorder
Decision Criteria
clinical Criteria
- Patient exhibits chronic feelings of emptiness and unstable relationships.
documentation Criteria
- Documentation includes specific DSM-5 criteria met.
Applicable To
- Borderline personality disorder
- Impulsive personality disorder
Clinical Validation Requirements
- Documentation of subtype (borderline or impulsive)
- Presence of ≥5 DSM-5 criteria for borderline type
- Functional impairment in social or occupational areas
Code-Specific Risks
- Risk of using unspecified codes like F60.9
- Confusion with other personality disorders
Coding Notes
- Ensure documentation specifies subtype and meets DSM-5 criteria.
F60.30 - Impulsive type
Use when impulsive behaviors are predominant without borderline features.
Applicable To
- Impulsive personality disorder
Excludes
- Borderline personality disorder (F60.31)
Clinical Validation Requirements
- Documentation of impulsive behaviors without self-image instability
Coding Notes
Ensure impulsive behaviors are documented without borderline features.
F60.31 - Borderline type
Use when borderline features are predominant, including self-harm and unstable relationships.
Applicable To
- Borderline personality disorder
Excludes
- Impulsive personality disorder (F60.30)
Clinical Validation Requirements
- Documentation of unstable self-image, chronic emptiness, and self-harm
Coding Notes
Ensure documentation meets DSM-5 criteria for borderline type.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Major depressive disorder, single episode, unspecified
F32.9Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Antisocial personality disorder
F60.2Borderline type
F60.31Impulsive type
F60.30Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Emotionally Unstable Personality Disorder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F60.3.
Impact
Clinical: May lead to misdiagnosis., Regulatory: Increases risk of audit., Financial: Potential for denied claims.
Mitigation Strategy
Use structured templates for documentation., Regular training on DSM-5 criteria.
Impact
Reimbursement: May lead to denied claims or reduced reimbursement., Compliance: Increases risk of audit and non-compliance., Data Quality: Reduces accuracy of patient records and data analytics.
Mitigation Strategy
Always specify the subtype (F60.30 or F60.31) based on clinical presentation.
Impact
Frequent use of unspecified codes can trigger audits.
Mitigation Strategy
Ensure documentation specifies subtype and meets DSM-5 criteria.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Emotionally Unstable Personality Disorder, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Emotionally Unstable Personality Disorder
Use these documentation templates to ensure complete and accurate documentation for Emotionally Unstable Personality Disorder. These templates include all required elements for proper coding and billing.
Psychiatric Evaluation for EUPD
Specialty: PsychiatryRequired Elements
- Patient history
- DSM-5 criteria met
- Functional impairment
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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