F91.3 Oppositional defiant disorder

Billable ICD-10-CM code, FY2026.

Applies from F91 Conduct disorders

Excludes1 (never code together)

• antisocial behavior (Z72.81-)
• antisocial personality disorder (F60.2)

Excludes2 (not included here)

• conduct problems associated with attention-deficit hyperactivity disorder (F90.-)
• mood [affective] disorders (F30-F39)
• pervasive developmental disorders (F84.-)
• schizophrenia (F20.-)

Risk adjustment (HCC)

• RxHCC V08: HCC 133 — Anxiety and Other Psychiatric Disorders

MS-DRG index

Defines the logic of DRG(s) 886 in MDC 19.

Approximate ICD-9-CM (GEMs)

• 313.81 Oppositional defiant disorder

Code annotations containing back-references to F91.3

Back-references to F91

• Type 1 Excludes: F60.2 Antisocial personality disorder ("conduct disorders (F91.-)")
• Type 2 Excludes: F63.1 Pyromania ("conduct disorders (F91.-)")
• Type 1 Excludes: Z72.81 Antisocial behavior ("conduct disorders (F91.-)")

Diagnosis Index entries for F91.3

• Disorder (of) › conduct (childhood) › oppositional defiance
• Disorder (of) › defiant oppositional
• Disorder (of) › oppositional defiant
• Disturbance (s) › emotions specific to childhood and adolescence › with › oppositional disorder

Nearby codes

• F91 Conduct disorders
• F91.0 Conduct disorder confined to family context
• F91.1 Conduct disorder, childhood-onset type
• F91.2 Conduct disorder, adolescent-onset type
• F91.3 Oppositional defiant disorder (this code)
• F91.8 Other conduct disorders
• F91.9 Conduct disorder, unspecified