Excludes1 pair

F60.2 vs F91-

F60.2 and F91 are not coded together. ICD-10-CM declares them mutually exclusive with an Excludes1 note — the two conditions are not expected to occur together, so exactly one of them is normally correct for a given encounter. The Official Guidelines carve out one exception: if the two conditions are clearly unrelated to each other, both may be reported.

The official note, declared on F60.2
conduct disorders (F91.-)
F60.2

Antisocial personality disorder

Billable
Chapter 5
Mental, Behavioral and Neurodevelopmental disorders
Section
F60-F69
Use when the record says
  • Amoral personality (disorder)
  • Asocial personality (disorder)
  • Dissocial personality disorder
  • Psychopathic personality (disorder)
  • Sociopathic personality (disorder)
Indexed under
  • Antisocial personality
  • Asocial personality
  • Criminalism
  • Liar, pathologic
  • Mendacity, pathologic
F91

Conduct disorders

Not billable
Chapter 5
Mental, Behavioral and Neurodevelopmental disorders
Section
F90-F98

Excludes1 is not always absolute: where two conditions covered by the note are genuinely unrelated, CMS guidance permits reporting both. Document the reasoning rather than assuming it. More on Excludes1 vs Excludes2 · FY2027