ICD-10 F60.3
Billable / Specific HCC v28: 60Borderline personality disorder
About ICD-10-CM F60.3
ICD-10-CM code F60.3 represents Borderline personality disorder. This is a billable/specific code in the Mental, Behavioral, and Neurodevelopmental chapter (block F60). The 2026 edition of ICD-10-CM F60.3 became effective on October 1, 2025.
Coding Tips for F60.3
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
F60.3 is a CMS-HCC v28 risk-adjustment code (category 60). To count for the patient Risk Adjustment Factor (RAF), document the diagnosis with MEAT language each calendar year: Monitored, Evaluated, Assessed, Treated. A diagnosis on the problem list alone does not satisfy CMS RADV audit standards. Include the diagnosis in the assessment with current status and current treatment plan.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under F60.3. Per CMS ICD-10-CM Tabular 2026.
- Aggressive personality (disorder)
- Emotionally unstable personality disorder
- Explosive personality (disorder)
Type 2 Excludes
Not included here, the excluded code is not part of F60.3, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.
- antisocial personality disorder (F60.2)
Medicare Advantage HCC Impact
Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.
Medicare LCD Coverage for F60.3
Local Coverage Determinations (LCDs) from CMS MACs that list F60.3 as a covered diagnosis.
Showing top 10 of 273 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing F60.3.
1 Cigna
5 Medicare
CPT Codes Commonly Billed with F60.3
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 90834 Psychotherapy 45 min — GAD, anxiety, MDD, recurrent depression, PTSD, adjustment disorder, BPD, OCD, bipolar, ADHD, autism, anorexia, bulimia Psychiatry
- 90837 Psychotherapy 60 min — same as 90834 plus substance use disorders, severe depression Psychiatry
- 90791 Psychiatric diagnostic evaluation — any mental health dx for initial assessment, suicidal ideation, hallucinations, antisocial behavior Psychiatry
- 90792 Psychiatric eval with medical services — schizophrenia, bipolar, MDD, anxiety, personality disorder, ASD, ADHD, substance use Psychiatry
- 90833 Psychotherapy 30 min add-on to E/M — anxiety, depression, PTSD, bipolar, OCD, BPD, ADHD Psychiatry
- 90836 Psychotherapy 45 min add-on to E/M — anxiety, depression, PTSD, bipolar, OCD, BPD, substance use Psychiatry
Convert F60.3 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| F60.3 | 3013 | 10000 |
| F60.3 | 30183 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To F60.3
Other codes in section F60-F69 (Disorders of adult personality and behavior).
ICD-10 F60.3, Billing FAQ
Is ICD-10 code F60.3 billable? +
Yes, F60.3 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to F60.3? +
ICD-10 F60.3 includes: Aggressive personality (disorder); Emotionally unstable personality disorder; Explosive personality (disorder).
What codes are Type 2 Excludes for F60.3? +
Type 2 Excludes (may be coded together when both conditions exist): antisocial personality disorder (F60.2)
Does F60.3 affect Medicare Advantage HCC risk adjustment? +
Yes. F60.3 maps to CMS-HCC v28 category 60. Capture this diagnosis annually for accurate Medicare Advantage risk score.
What CPT codes are commonly billed with F60.3? +
Procedures frequently paired with F60.3 include: 90834, 90837, 90791, 90792, 90833.
What ICD-9 codes does F60.3 map to? +
Per CMS GEMs, F60.3 maps to ICD-9 codes: 3013, 30183. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on July 16, 2026.
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