Narcissistic personality disorder

This code identifies a pervasive pattern of grandiosity, a need for admiration, and a lack of empathy, typically beginning by early adulthood and present in a variety of contexts. Individuals with this disorder often exhibit an inflated sense of self-importance, preoccupation with fantasies of unlimited success, power, brilliance, beauty, or ideal love, and exploit others to achieve their own ends.

Apply this code when a patient meets the diagnostic criteria for narcissistic personality disorder as outlined in the DSM-5. Documentation should clearly describe the enduring pattern of maladaptive traits and behaviors consistent with the disorder, impacting multiple areas of functioning. This diagnosis is typically made by a psychiatrist or other qualified mental health professional.

• Ensure documentation explicitly states "narcissistic personality disorder" rather than just "personality disorder NOS."
• Do not confuse this with other personality disorders, such as histrionic or antisocial personality disorder, which have distinct diagnostic criteria.
• Code any co-occurring mental health conditions, such as depression or anxiety, separately and sequence according to the primary reason for the encounter.