ICD-10 Code F60.81 – Narcissistic personality disorder (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F60.81 – Narcissistic personality disorder
What it is
F60.81 identifies narcissistic personality disorder, a long-standing pattern of grandiosity, need for admiration, and limited empathy. Use it when the documentation clearly supports a personality disorder diagnosis.
Clinical signs
Typical features include an exaggerated sense of self-importance, preoccupation with success or status, and sensitivity to criticism. Clinical features vary; refer to documentation.
When to use this code
Use F60.81 when the provider documents narcissistic personality disorder or clearly describes a persistent personality pattern consistent with it. Code it from the assessment or diagnostic statement, not from isolated traits alone. Check documentation if the record only notes narcissistic behavior without a formal diagnosis.
Do not use for
Do not use this code for temporary arrogance, conflict, or personality traits without a diagnosed disorder. Do not assign it when another mental health condition better explains the behavior; check documentation.
Coding tip
Confirm the diagnosis is explicitly stated and supported by the note before assigning F60.81.