ICD-10 Code F60.5 – Obsessive-compulsive personality disorder (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F60.5 – Obsessive-compulsive personality disorder
What it is
F60.5 identifies obsessive-compulsive personality disorder, a long-standing pattern of perfectionism, orderliness, and control that interferes with flexibility and efficiency. Use it for the personality disorder, not for obsessive-compulsive disorder.
Clinical signs
Typical features include preoccupation with rules, lists, details, and schedules, along with excessive devotion to work and difficulty delegating. Clinical features vary; refer to documentation.
When to use this code
Use F60.5 when the record documents obsessive-compulsive personality disorder or a clearly stated diagnosis of an anankastic personality pattern. You may also use it when the clinician describes persistent perfectionism and rigidity as the diagnosed disorder. Check documentation if the note only mentions traits without a formal diagnosis.
Do not use for
Do not use this code for obsessive-compulsive disorder, anxiety disorders, or isolated perfectionistic behavior without a personality disorder diagnosis. Check documentation.
Coding tip
Confirm the provider distinguishes personality disorder from OCD before assigning F60.5.