ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 F60.5

Billable / Specific HCC v28: 60

Obsessive-compulsive personality disorder

F60
Block
3
Synonyms
441
LCDs
15
Payer Policies
33
Linked CPTs

About ICD-10-CM F60.5

ICD-10-CM code F60.5 represents Obsessive-compulsive personality disorder. This is a billable/specific code in the Mental, Behavioral, and Neurodevelopmental chapter (block F60). The 2026 edition of ICD-10-CM F60.5 became effective on October 1, 2025.

Coding Tips for F60.5

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

HCC capture: document with MEAT each year

F60.5 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 F60.5. Per CMS ICD-10-CM Tabular 2026.

  • Anankastic personality (disorder)
  • Compulsive personality (disorder)
  • Obsessional personality (disorder)

Type 2 Excludes

Not included here, the excluded code is not part of F60.5, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.

  • obsessive-compulsive disorder (F42.-)

Medicare Advantage HCC Impact

CMS-HCC v28 (current)
Category 60

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 F60.5

Local Coverage Determinations (LCDs) from CMS MACs that list F60.5 as a covered diagnosis.

441 LCDs

Showing top 10 of 441 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Pharmacogenomics Testing
Article ID: 58801, Effective: 2026-01-01 00:00:00, 578 covered, 0 non-covered
CPT 81227 →
CMS LCD: Billing and Coding: Pharmacogenomics Testing
Article ID: 58801, Effective: 2026-01-01 00:00:00, 578 covered, 0 non-covered
CPT 81328 →
CMS LCD: Billing and Coding: Pharmacogenomics Testing
Article ID: 58801, Effective: 2026-01-01 00:00:00, 578 covered, 0 non-covered
CPT 81335 →
CMS LCD: Billing and Coding: Pharmacogenomics Testing
Article ID: 58801, Effective: 2026-01-01 00:00:00, 578 covered, 0 non-covered
CPT 0071U →
CMS LCD: Billing and Coding: Pharmacogenomics Testing
Article ID: 58801, Effective: 2026-01-01 00:00:00, 578 covered, 0 non-covered
CPT 81383 →
CMS LCD: Billing and Coding: Pharmacogenomics Testing
Article ID: 58801, Effective: 2026-01-01 00:00:00, 578 covered, 0 non-covered
CPT 81418 →
CMS LCD: Billing and Coding: Pharmacogenomics Testing
Article ID: 58801, Effective: 2026-01-01 00:00:00, 578 covered, 0 non-covered
CPT 0073U →
CMS LCD: Billing and Coding: Pharmacogenomics Testing
Article ID: 58801, Effective: 2026-01-01 00:00:00, 578 covered, 0 non-covered
CPT 81283 →
CMS LCD: Billing and Coding: Pharmacogenomics Testing
Article ID: 58801, Effective: 2026-01-01 00:00:00, 578 covered, 0 non-covered
CPT 81408 →
CMS LCD: Billing and Coding: Pharmacogenomics Testing
Article ID: 58801, Effective: 2026-01-01 00:00:00, 578 covered, 0 non-covered
CPT 81355 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing F60.5.

15 policies

1 Cigna

Neuropsychological Testing - (EN0258)
Policy ID: EN_MM_0258

5 Medicare

Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
Policy ID: ART-56645
Billing and Coding: Psychiatry and Psychology Services
Policy ID: ART-56937
Billing and Coding: Outpatient Psychiatry and Psychology Services
Policy ID: ART-57065
Billing and Coding: Psychiatric Codes
Policy ID: ART-57130
Billing and Coding: MolDX: Pharmacogenomics Testing
Policy ID: ART-57384

CPT Codes Commonly Billed with F60.5

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

33 linkages
  • 0034U CMS LCD: Billing and Coding: MolDX: Pharmacogenomics Testing CMS LCD
  • 0074U CMS LCD: Billing and Coding: MolDX: Pharmacogenomics Testing CMS LCD
  • 81232 CMS LCD: Billing and Coding: MolDX: Pharmacogenomics Testing CMS LCD
  • 81401 CMS LCD: Billing and Coding: MolDX: Pharmacogenomics Testing CMS LCD
  • 0030U CMS LCD: Billing and Coding: MolDX: Pharmacogenomics Testing CMS LCD
  • 81350 CMS LCD: Billing and Coding: MolDX: Pharmacogenomics Testing CMS LCD
  • 0071U CMS LCD: Billing and Coding: MolDX: Pharmacogenomics Testing CMS LCD
  • 81406 CMS LCD: Billing and Coding: MolDX: Pharmacogenomics Testing CMS LCD
  • 0076U CMS LCD: Billing and Coding: MolDX: Pharmacogenomics Testing CMS LCD
  • 81328 CMS LCD: Billing and Coding: MolDX: Pharmacogenomics Testing CMS LCD

Convert F60.5 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
F60.5 3014 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 F60.5, Billing FAQ

Is ICD-10 code F60.5 billable? +

Yes, F60.5 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 F60.5? +

ICD-10 F60.5 includes: Anankastic personality (disorder); Compulsive personality (disorder); Obsessional personality (disorder).

What codes are Type 2 Excludes for F60.5? +

Type 2 Excludes (may be coded together when both conditions exist): obsessive-compulsive disorder (F42.-)

Does F60.5 affect Medicare Advantage HCC risk adjustment? +

Yes. F60.5 maps to CMS-HCC v28 category 60. Capture this diagnosis annually for accurate Medicare Advantage risk score.

What CPT codes are commonly billed with F60.5? +

Procedures frequently paired with F60.5 include: 0034U, 0074U, 81232, 81401, 0030U.

What ICD-9 codes does F60.5 map to? +

Per CMS GEMs, F60.5 maps to ICD-9 codes: 3014. 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 May 31, 2026.

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